Pediatric Referral Guidelines

New Patient Referral/Consult Fax Form (PDF)

Cardiology  (pdf)

• Chest pain
• Hypertension (also see Nephrology)
• Murmur
• Palpitations
• Patent foramen ovale (PFO) and/or Branch pulmonary stenosis
• Syncope

Endocrinology (pdf)

• Acquired hyperthyroidism
• Acquired hypothyroidism
• Delayed puberty
• Early childhood axillary and/or pubic hair development
• Early childhood breast development
• Precocious puberty
• Short stature

Hematology/Oncology (pdf)

• Abnormal newborn screen
• Anemia
• Epistaxis
• Lymphadenopathy

Infectious Disease (pdf)

• Fever of unknown origin
• Recurrent abcesses
• Recurrent fevers
• Recurrent sinusitis

Nephrology (pdf)

• Congenital uropathies
• Hematuria
• Hypertension
• Nephrolithiasis
• Proteinuria

Neurology (pdf)

• Febrile seizure
• Headache
• Hypotonia
• Seizure (first time afebrile)

Pulmonology (pdf)

• Asthma, recurrent cough or wheeze
• Bronchopulmonary dysplasia or chronic lung disease
• Chronic cough, recurrent pneumonia, noisy breathing, chest pain or tachypnea
• Cystic fibrosis
• Sleep apnea or sleep breathing disorder