Refer a Patient

We ask that providers submit a referral that is complete. A complete referral helps us schedule an appointment for your patient in a timely manner and match them with the right specialist. It ensures a productive and smooth first appointment for your patient. It also helps us assess the needs of our community and plan to have the capacity to meet those needs. We may not schedule patients until a complete referral is received. 

Please include:

• Referring provider’s name, phone, fax and the referral coordinator’s email address so that we may contact you if additional information is needed
• Complete demographic information for the patient, found in the top portion of our New Appointment Request Form (NARF)
• Patient’s clinical records related to the reason for your referral
• Growth charts/curves that are pertinent to the referral
• Pertinent laboratory testing reports
• Pertinent dental X-rays sent to dentalrecords@seattlechildrens.org
• Previous specialty evaluations for second opinions or transfers of specialty care

We accept referrals for patients with complex medical and behavioral conditions, including:

• Blood disorders

  We offer dental care to patients with blood disorders before or after procedures like lab tests or infusions.

• Cancer

  We offer dental care to patients with cancer who are actively being treated at Seattle Children’s and for 1 year after their treatment ends.

• Children with special healthcare needs

  We will care for patients with special healthcare needs who have cavities and who require hospital-based general anesthesia to treat the cavities.

  We will also provide dental care for children with special healthcare needs who travel from long distances during coordinated visits with multiple providers.

• Conditions requiring a transplant

  We offer dental care to patients during the pre-transplant period and for 12 months after transplant.

  If patient is 17 or older and will undergo a transplant, a Seattle Children’s provider must submit an over age approval form.

• Conditions requiring the use of a ventilator

  We will serve as the dental home for ventilator-dependent patients.

• Craniofacial disorders

  We will care for patients with craniofacial diagnoses seen by care team members at Seattle Children’s Craniofacial Center who have ongoing orthodontic needs or surgical plans.

• Heart disease (if condition is unstable or patient requires surgery)

  We will serve as the dental home for patients with unstable congenital heart disease.

  For patients undergoing surgery for congenital heart disease, we will provide pre-surgical dental treatment.

  If patient is 17 or olderand will undergo heart surgery, a Seattle Children’s provider must submit an over age approval form.

• Intractable epilepsy

  We will serve as the dental home for patients with intractable epilepsy.

• Progressively debilitating medical conditions

  We will serve as the dental home for patients with progressively debilitating medical conditions like spinal muscular atrophy, muscular dystrophy and epidermolysis bullosa.

• Severe behavioral problems

  We will provide dental care to patients with behavioral problems that may cause them to become physically violent.