Refer a Patient

As a healthcare provider, you’re always looking or the best resources for your patients. If your pediatric patient requires advanced care, that often means referring to specialists.

Download our referral form, then fax your completed form to our central scheduling office at 402-955-6445. Our team will reach out to the patient/family to arrange an evaluation once the form and attached items are received.

Please note: the referral processing period may take 48 hours. IF YOUR PATIENT NEEDS TO BE SEEN WITHIN 24 HOURS, PLEASE CALL THE CLINIC DIRECTLY.

Referral Form

Children’s Nebraska is the only full-service medical center in the state that is dedicated exclusively to treating children. Like you, we know how to communicate with pediatric patients and parents. Our pediatric specialists are current on best practices and emerging treatments for the pediatric population.

When you refer your patient to Children’s, you can be confident that they will be receiving the best care. We believe that all children deserve the highest quality care, so no child is ever turned away due to their family’s inability to pay.

For immediate consult or transport Call 855-850-KIDS (5437)

Behavioral Health Referrals:

Developmental Pediatric Clinic Referrals:

Developmental Pediatric Clinic New Appointment Referral Form

Endocrinology Referrals:

Endocrinology Clinic New Appointment Referral Form

Outpatient Radiology Referrals:

Outpatient Radiology Fax Order Form


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