Refer a Patient

This page contains all of the ways you can refer a patient to Children's Hospital Central California.

Children's Access Center

866.353.KIDS(5437)

This is 24/7 one-stop center is designed for referring physicians. Access Center staff will route your call while you wait. You will always speak to a live person who will make sure your call is taken.

Use this toll-free number to: get professional consultation with a specific physician or a physician in a specific specialty or subspecialty; facilitate direct physician-to-physician patient admissions; arrange emergency air or ground patient transport; facilitate the referral of a patient to Children's; or remain informed about a referred patient's condition and/or discharge plans. If you wish to speak to a physician who is unavailable, an Access Center representative will get you to an available specialist or arrange for the requested physician to return your call that day.

866.353.KIDS(5437)

Outpatient Referral Form

The Outpatient Referral Form can be filled out on your computer and e-mailed to Children's Hospital, printed for your records, or saved to your own computer.

To e-mail the form: You will see an "e-mail form" button in the upper right corner. Make sure you are online and at a computer that has your e-mail software loaded. Pushing the button will create an e-mail with an address already in the the send field and the completed form attached. Make sure you complete the form before pushing the e-mail button. You can then either save or print the form for your own records. Also, please include your name and phone number in the body of the e-mail so that our staff can contact you if they have questions.

Very Important! If you have patient records to send with the referral or any diagnostic orders or court orders, you must FAX the referral form with all attached paperwork. Please do not Fax materials separate from the form or create duplicate submissions (i.e. don't fax and e-mail the form).

To FAX the form: You can fill the form out on your computer, print and fax it to (559)353-8888.

Acrobat Reader is required to use this form.
Download the free Acrobat Reader here.

You can also keep using the Outpatient Referral Form as you always have. The electronic version of the form is simply meant to give you a more streamlined option.

Please Note: Our referral team processes referrals during normal business hours (7:30 AM to 4:00 PM). If you need to speak to a specialist or have an urgent issue please call the Children's Access center at (866) 353-KIDS (5437).

If you have any problems with the form please call us at (559) 353-8800.

Service Phone Numbers

Scroll down for a complete list of physician office numbers or look into the full breadth of what we offer your patients in our Services section. All the contact information on this page is available on the Children’s Quick Reference Telephone Guide. While we update this page more frequently than the Guide, it’s a very handy tool. Download one here or get laminated, pre-printed versions by calling 559.353.6621.

Outreach Centers:

Merced Pediatric Subspecialty Center

(209) 726-0199

Modesto Pediatric Subspecialty Center

(209) 572-3880

Pharmacy

Inpatient: 559-353-7224
Outpatient: 559-353-6301

Refer a Patient

Children's Access Center

Outpatient Referral Form

Service Phone Numbers

Outreach Centers:

Pediatric Specialties

Hospital Services

Pharmacy

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