Referring Patients

Allergy

PHONE: 309-308-2000

Complete records are essential in determining the urgency of referrals. Records to be sent include:

• Refer online or refer by fax (PDF)
• Any office notes, labs, or X-rays that pertain to the referral
• Any past hospitalizations that pertain to the referral

Pediatric Specialty Referral Grid

Cardiology / CV Surgery / Congenital Heart

PEORIA / BLOOMINGTON / URBANA/MOLINE / OTTAWA / SPRINGFIELD
PHONE: 309-655-3453

ROCKFORD / STERLING / SYCAMORE / FREEPORT / DIXON
PHONE: 815-227-5600

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Copy of Insurance Card
• All pertinent test results

Follow up to referring physician office includes a phone call and letter with appointment date and time.

Pediatric Specialty Referral Grid

Surgery / Congenital Diaphragmatic Hernia Clinic

PHONE: 309-655-3800

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. For new patients that have not had surgical intervention by Children's Hospital surgeons in the past 5 years, records to be sent should include:

• Refer online or refer by fax (PDF)
• Medical/surgical history, including outpatient notes
• Labs, radiology reports
• Copies of films

CDH patients repaired by our surgeons at Children's Hospital will have a post-op appointment prior to CDH clinic. At that time, our office will arrange CDH follow-up.

Pediatric Specialty Referral Grid

Cystic Fibrosis

FAX FORM TO: 309-624-5567
PHONE: 309-624-6565

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer by fax (PDF)
• Sweat Test results
• Any genetic testing results
• Growth Chart

A nurse will contact the referring physician by phone to confirm the appointment.

Pediatric Specialty Referral Grid

Diabetes Resource Center

PHONE: 309-624-2480

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Labs and all pertinent test results done

Follow-up to referring physician office includes:

• Referrals are to be reviewed within the same day, or urgent cases need to be discussed with the peds endo on-call MD.
• Following the appointment, our office will send office visit notes to the referring physician office.

Pediatric Specialty Referral Grid

Endocrinology (non-Diabetes)

FAX FORM TO: 309-655-4147
PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make sure to include the required records as our office is unable to schedule patients until we have the following information:

• Refer online or refer by fax (PDF)
• Pertinent Physician Notes
• Growth Charts
• Pertinent Labs

For suspected/new onset Diabetes, please place a referral to the Pediatric Diabetic Resource Center (PDRC) and call to discuss the case with the on - call Provider.

Our office will then call and offer the patient/family an appointment.

Pediatric Specialty Referral Grid

ENT (Otolaryngology)

PHONE: 309-655-4180

Complete records are essential in determining the urgency of referrals.Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Dates of treatment
• Lab / x-ray results
• Name of responsible party to contact for appointment

Our office will fax information to the referring physician office regarding the appointment time we have given to the patient. Following the appointment, the referring physician will receive correspondence from our physician by mail.

Pediatric Specialty Referral Grid

Gastroenterology

FAX FORM TO: 309-624-7609
PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make sure to include the required records as our office is unable to schedule patients until we have the following information:

• Refer online or refer by fax (PDF)
• Pertinent Physician Notes
• Pertinent Imaging (KUB, UGI etc)
• Pertinent Labs

After receiving the required information, a referral specialist will call the patient with the first available new patient appointment.

Once an appointment is scheduled, new patient paperwork is mailed to the patient.

Pediatric Specialty Referral Grid

Genetics

PHONE: 309-624-9680

FAX: 309-624-9524

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Any genetic testing results
• Growth Chart
• Family History
• Pregnancy History

When the appointment is scheduled, the referring physician office will receive a fax with the appointment information. In addition, an appointment card, driving directions, and patient information form will be mailed to the patient.

Pediatric Specialty Referral Grid

Gynecology

PHONE: 309-624-9680

FAX: 309-624-7778

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Copy of Insurance Card
• All pertinent test or lab results

Follow-up: Follow up to referring physician office includes fax or Epic notification when scheduled and office note after the appointment is completed.

Pediatric Specialty Referral Grid

Hematology / Oncology / Sickle Cell

PHONE: 309-624-4945

To schedule a consult at The Jim and Trudy Maloof St. Jude Affiliate Clinic at OSF Children's Hospital, please call us weekdays 8am - 4:30pm. Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Copies of all relevant laboratory and imaging studies
• All pertinent medical records

Pediatric Specialty Referral Grid

Infectious Disease

FAX FORM TO: 309-624-7778

PHONE: 309-624-9680

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Any labs, x-rays, testing related to referral
• Pertinent Physician notes

We will contact your office by phone or will send a letter with our findings.

Pediatric Specialty Referral Grid

Nephrology

FAX FORM TO: 309-624-3265
PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make sure to include the required records as our office is unable to schedule patients until we have the following information:

• Refer online or refer by fax (PDF)
• Pertinent Physician Notes
• Pertinent Imaging (Renal Sonos/duplex/x-rays)
• Medication List
• Pertinent Labs

After receiving the required information, a referral specialist will call the patient with the first available new patient appointment.

Once an appointment is scheduled, new patient paperwork is mailed to the patient.

Pediatric Specialty Referral Grid

Neurology / Epileptology

We are not taking new referrals at this time.

FAX FORM TO: 309-624-2668
PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make sure to include the required records as our office is unable to schedule patients until we have the following information:

• Refer online or refer by fax (PDF)
• Pertinent Physician Notes
• Test Results (CT, EEG, MRI)
• Pertinent Lab Results

If a patient is being referred for staring spells, seizures, or seizure like activity please order a sleep – deprived EEG to be completed prior to patient’s appointment when possible.

Our office will then call and offer the patient/family an appointment.

Pediatric Specialty Referral Grid

Neurosurgery

FAX FORM TO: 309-683-5855
PHONE: 309-683-7600

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. For new patients not repaired by Children's Hospital surgeons in the past 5 years, records to be sent should include:

• Refer by fax (PDF)
• Radiographic Testing
• Referring physician notes with reason for referral and signs/symptoms/studies

Our office will contact the patient's family to be sure that correct instructions have been given.

A physician consult note will be sent to the referring physician once the patient is seen by the specialist.

Pediatric Specialty Referral Grid

Healthy Kids U / Obesity Medicine

FAX FORM TO: 309-655-4147
PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make sure to include the required records as our office is unable to schedule patients until we have the following information:

• Refer online or refer by fax (PDF)
• Pertinent Physician Notes
• Growth Charts
• 2 out of 3 of the Following Labs Within the Last Year (Fasting CMP, Fasting Lipid Panel, Hemoglobin A1C)

Our office will then call and offer the patient/family an appointment.

Pediatric Specialty Referral Grid

Ophthalmology

PHONE: 309-308-3500

Our pediatric ophthalmologists provide comprehensive eye care services to infants, children and adolescents.

• Refer online or refer by fax (PDF)
• Please include referring diagnosis with referral.
• Referrals for patients with Retinopathy of Prematurity (ROP) must have documented medical records indicating that ROP is complete submitted with the referral in order to be scheduled for an appointment.

Pediatric Specialty Referral Grid

Orthopedics

PHONE: 309-655-7668

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Radiology results including CT scans, MRI's
• Therapy notes
• Pertinent physician notes
• All pertinent lab results

Other instructions: Please send a CD, films or electronically push x-rays, and MRIs completed at facilities other than OSF.

Pediatric Specialty Referral Grid

Palliative Care

FAX FORM TO: 309-655-4147
PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make sure to include the required records as our office is unable to schedule patients until we have the following information:

• Refer online or refer by fax (PDF)
• Pertinent Physician Notes/All Pertinent Diagnosis

Our office will then call and offer the patient/family an appointment.

Pediatric Specialty Referral Grid

Psychiatry

PHONE: 309-681-6960

Complete records are essential in determining the urgency of referrals.Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Whether or not the child is seeing a counselor

Pediatric Specialty Referral Grid

Pulmonology / Sleep Medicine / Home Vent Program

PHONE: 309-624-2277

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Pertinent Physician notes

Pediatric Specialty Referral Grid

Resource Link (Mental Health)

FAX FORM TO: 309-624-9733
PHONE: 309-624-9781

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer by fax (PDF)
• Any mental health information

Our secretary will contact the family within one business day of receiving the referral in order to schedule an intake appointment with our case coordinator.

Once the parent attends the intake, appropriate referrals will be made. We will inform your office of the specifics of the referrals and any known appointment dates with mental health providers. We will provide ongoing communication through phone calls/letters regarding patients' attendance, participation and discharge information.

Pediatric Specialty Referral Grid

Child Abuse Pediatrics / Pediatric Resource Center

PHONE: 309-624-9595

After submitting your referral, please call us at  as soon as possible for next steps.
Calls are answered 24/7 at 309-624-9595.

• Refer online or refer by fax (PDF)

Pediatric Specialty Referral Grid

Urology / Spina Bifida Clinic

PHONE: 309-624-5100

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer online or refer by fax (PDF)
• Office visit notes
• Urological operative reports
• Any renal & bladder ultrasound, VCUG, and KUB reports
• All urinalysis and urine culture reports

The patient will be called to schedule the appointment. The referring physician office will receive a fax with appointment information.

Pediatric Specialty Referral Grid