Endocrinology and Diabetes
Refer a Patient
How to Refer a Patient
- If your patient is newly diagnosed with diabetes and is under 5 years old or has complex medical or social needs, they will require hospital admission for our 2- or 3-day inpatient protocol. Please call Seattle Children’s Communication Center: 206-987-8899 or, toll free, 866-987-8899 before sending your patient to Seattle Children’s. This helps facilitate their arrival in the ED.
- If your newly diagnosed patient is at least 5 years old and otherwise healthy, they might be eligible for outpatient education. Please page the endocrinologist on call at 206-987-7777. You and the endocrinologist will have a phone consultation to develop a plan. Depending on time of day, we will likely see your patient at 7:30 a.m. the next day to start education.
See information on Living With Diabetes Education for Families (PDF).
Your patient may qualify for outpatient education if the child:
- Is at least 5 years old
- Is not in diabetic ketoacidosis (DKA)
- Does not have other complex medical or social needs
- Does not require isolation precautions
- Is not acutely ill
- Has an English-speaking family
To determine your patient’s eligibility, please obtain the following before contacting Seattle Children's:
- Blood glucose
- Urine ketones
If possible, please also get:
- Venous blood gas (VBG)
- Beta hydroxybutyrate (BOHB)
If your patient is in DKA, they will need to be admitted to the hospital for DKA management before diabetes education can occur. DKA is diagnosed as:
- Glucose greater than 200 mg/dL and
- pH less than 7.3 or HCO3<15 mEq/L and
- Ketonemia (BOHB >1 mmol/L)
With outpatient education, patients and their parents attend a 2-day workshop in a classroom setting. This works better for many healthy patients because they avoid having to spend a night in the hospital. This approach also improves access to inpatient medical beds for the region’s sickest children.
- Providers should fax a New Appointment Request Form (NARF) (PDF, DOC) to 206-985-3121 or 866-985-3121 (toll free).
- In advance of the appointment, fax growth charts and any lab or other study results related to the referral question, along with the NARF.
- If you are referring a patient to the Prader-Willi Syndrome Clinic, we require genetic confirmation of Prader-Willi syndrome (PWS) and ask that you send all essential subspecialty, radiology and lab information.
- Instead of fax, you can use eReferral, an online way to submit referrals and track referral status.
- If imaging studies (CT, MRI, X-rays) have been done, please upload to PowerShare as well as faxing the report.
- For phone referrals, call the clinical intake nurses at 206-987-2080 or toll free at 866-987-2080.
- Urgent appointments are available for certain conditions.
We’re committed to partnering with you
Your patient will be seen as quickly as possible by the provider on the specialty team who is the best match for managing the current problem (based on urgency and availability).
We encourage you to take an active role in your patient’s care plan. If you need to talk with us for any reason, or for a consultation, call the provider-to-provider line at 206-987-7777 or 877-985-4637 (toll free).
Learn more about managing your patients at Seattle Children’s.
Expert, convenient care for your patient
We see patients from birth to age 18 (up to 21 for certain conditions) for growth disorders, pubertal disorders, thyroid disorders, adrenal disorders, pituitary disorders, calcium disorders, lipid disorders, type 1 and 2 diabetes, hypoglycemia, insulin resistance, Turner syndrome, Klinefelter syndrome and Prader-Willi syndrome.
Seattle Children’s doctors see endocrinology and diabetes patients at our main campus in Seattle and at our clinics in these Washington cities:
- Federal Way
Our endocrinologists also see patients at a community clinic in Port Angeles, Washington. See our locations and contact information.