Admit/Refer a Patient
These forms can be printed, filled out, and faxed to the respective divisions.
Referring physicians - use this form to schedule a radiology appointment with our Phoenix Children's Medical Group Radiologists.
Radiology referral form (PDF)
Surgeons - use this form when scheduling patients for surgery in Phoenix Children's operating rooms.
Surgery referral form (PDF)
Not sure about authorizations?
Links to health insurance plans (PDF)
List of common procedures requiring authorization, listed by health insurance company (PDF)
Administrative Coordinator
(602) 546-2337 (BEDS)
Physicians may admit patients by calling the Administrative Coordinator (AC). The AC will take the following patient information and facilitate admission.
- Name
- Age
- Gender
- Diagnosis
- Past medical history
- Previous hospitalizations
- Exposures/immune status
- Current vital signs, respiratory status
- Isolation needed
Administrative Coordinator
(602) 546-2337 (BEDS)
For many years, Phoenix Children's Hospital has made the KidsLink service available to physicians desire assistance in caring for their hospitalized patients. We respect for the existing physician/patient relationship and understand that we are a link between temporary hospitalization and the physician's ongoing care of the child.
The KidsLink team consists of the full-time faculty members in the section of General Pediatrics. Our excellent pediatric residents assist us. Here's how KidsLink works:
- The KidsLink physician is the attending physician of record who is responsible for the care of any patient on the KidsLink Service. The KidsLink physician will see the patient every day and maintain the medical record.
- When you refer a child for admission at (602) 546-BEDS (2337), tell the admitting office you wish to use the KidsLink Program. Use of the KidsLink program is OPTIONAL for each individual admission and, of course, our medical staff physicians can always continue to admit patients to their own service.
- Within 24 hours, a member of the KidsLink hospitalist team will send a fax to your office indicating our initial plans for evaluation and management. We'll also include information about how you can easily communicate with us by fax, phone or e-mail.
- You'll be asked to let us know your preferred method of being updated and how often you wish to receive updates on your patient's condition.
- Immediately upon your patient's discharge, you'll receive an initial discharge summary via fax. The formal hospital discharge summary will be mailed to you.
If you would like more information about this program, contact Ryan Bode, M.D., Division Chief, KidsLink Hospitalist, at rbode@phoenixchildrens.com.
Emergency Department Physician Referral Line
(602) 546-1919
Physicians may call the Emergency Department Physician Referral Line to speak directly with an ED attending physician.
1-800-255-7428
The Kidsaver Hotline links physicians and other emergency departments directly to our Emergency Department physicians. For assistance with stabilization and transport of critically ill children, this toll free number is available at Phoenix Children's Hospital 24 hours a day, 7 days a week.
(602) 546-1454
For assistance with critically ill newborns, contact our NICU to speak with a neonatologist.
Appointments and referrals to our outpatient departments may be made by calling the individual specialty care departments listed in the Medical Specialties section.
