FAX FORM TO: 877.464.6806 PHONE: 877.464.6670

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 faxed should include:

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.

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