Refer a Patient
Urgent Referrals
Call 513-636-XFER (9337) or use the Bed Request Form in Epic Link.
Call 513-636-7997 or toll-free 1-888-987-7997.
Referring providers can connect with attending subspecialists anytime day or night.
Download:
How To Submit Orders:
- Fax form to 513-636-4050.
- Call 513-636-1111 and select Option 2 to confirm that the fax referral has been received.
Helpful Resource:
Routine Referrals
To submit a referral, choose one of the following options:
- Download and complete a Specialty Services or OT/PT/Speech/Audiology form, then send it electronically or by fax to 513-803-1111 or 1-866-877-8905.
- Generate a referral directly from your EMR and send it electronically or by fax to 513-803-1111 or 1-866-877-8905.
- Submit your referral through Epic Link.
Once the referral is sent, please have family call to schedule. Download a Patient Scheduling Pad to find the correct phone number.
Helpful Resources:
Scheduled Outpatient Orders
Step 1: Download the Required Form
Step 2: Submit the Form
- For X-rays: Fax the completed form to 513-803-1111 or 1-866-877-8905, and send a copy with the patient. (No appointment needed for X-rays.)
- For Routine Imaging or Ultrasound: Call 513-636-4251 to schedule an appointment.
Step 3: Scheduling a STAT Appointment
- Radiology/Imaging: Call 513-636-4251, then select Option 2.
- Ultrasound: Call 513-636-3177 and follow the prompts for same-day requests. (Do not fax the order to our referral team—our staff will provide the correct fax number based on the patient’s location.)
Helpful Resources:
Download a Diagnostic Testing order form.
Includes EKG, ECHO, EEG, EMG, PFT, DXA Scan, GTT and Sweat Chloride.
Once the referral is sent, please have family call to schedule. Download a Patient Scheduling Pad to find the correct phone number.
Download a Therapies, Perlman Center, and Audiology order form.
Includes Occupational Therapy / Physical Therapy, Perlman Center for Cystic Fibrosis, Speech Pathology, and Audiology services.
Once the referral is sent, please have family call to schedule. Download a Patient Scheduling Pad to find the correct phone number.
Download a Pre-Procedure Physical Exam form.
Helpful Resource:
Walk-In Diagnostic Services
Download:
How to Submit Orders:
- Fax to 513-636-3918. To prevent processing delays, provide a paper copy to the patient.
Helpful Resources:
Contact Us:
- For lab questions or consultations, call 513-636-7355.
Download:
Ways to Submit Orders:
- Fax to 513-803-1111 or 1-866-877-8905. To prevent processing delays, provide a paper copy to the patient.
- Submit via your EHR. To prevent processing delays, provide a paper copy to the patient.
- Enter in EpicLink.
Helpful Resources:
Details to Include with a Referral
Required Information
To avoid scheduling delays, please ensure the following information is included with the referral:
- Patient Information: Full name, date of birth, and gender
- Referral Details: Date of referral/order and reason for referral
- Parent/Guardian Information: Name and phone number
- Primary Care Provider (PCP) Details: Practice name and PCP’s name
- Provider for Results: Name of the provider responsible for receiving results (if different from the PCP)
- Additional Requirements for Diagnostic Testing, Speech, OT/PT, and Audiology: All the above, plus a diagnosis code and PCP signature
Optional Information
While not required, the following details can help facilitate the referral process:
- Notes on pre-authorization process
- Clarification on referral type: consultation, transfer of care, or co-management
- Need for ancillary services (e.g., interpreter, transportation assistance)
- Parent/guardian email address
- Patient insurance details
- Name of the PCP office contact
To download medical records forms or learn how to request medical records, visit our Obtain Medical Records page.
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