Intensive Feeding Program
Refer a Patient
How to Refer a Patient
Updated August 2019
We are accepting new referrals.
If you are unsure about whether to refer your patient, please call our Clinical Intake Nurses at 206-987-2080.
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 and clinic location. 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.
- Referring provider’s name, phone, fax number 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
- Feeding therapy notes and history
- Nutrition notes and history (blenderized diet, PediaSure diet, etc.)
- Growth charts/curves that are pertinent to the referral
- Pertinent laboratory testing reports
- Pertinent radiology testing reports, i.e. swallow study
- Previous specialty evaluations for second opinions or transfers of specialty care
- We are accepting new referrals only for those patients who meet the following requirements:
- 12 months old or older
- Live in our service area of Washington, Alaska, Idaho, Montana and Wyoming
- Use a feeding tube
- If your patient is younger than 12 months old, they can be referred to Seattle Children’s Occupational Therapy for a feeding evaluation with one of our infant specialists.
- If we evaluate your patient and determine they are not appropriate for the program due to not using a feeding tube, we may refer them to the Growth and Feeding Dynamics Clinic or other clinic, as appropriate.
Submit a referral
- New Appointment Request Form (PDF) (DOC)
- Step-by-Step Guide to Submitting a Referral
- New Patient Referral FAQ
After we receive your referral, we will review it and call your patient within approximately one week to discuss filling out the questionnaire and to schedule an evaluation appointment.
- We will notify you when an appointment is made, or contact you by fax to let you know if the family has not called us back to schedule an appointment.
Please call our Clinical Intake Nurses if you need assistance: 206-987-2080.
We’re committed to partnering with you
It is important to us that referring providers are informed and aware of their patient’s participation in our program. We will ask you to review and sign Calorie Reduction Orders that will begin on the Thursday before the first program appointment. Since the intensive feeding program is a hunger based program, tube feeding calories are reduced by approximately 80% and fluid intake reduced by 20% of calculated needs. The program dietitian will contact your office 1-2 weeks prior to the program start date to obtain these orders.
We are always available to answer questions and support your care of your patients.
- Diagnosis and treatment options: call 206-987-7777 (Provider-to-Provider Line).
- Referring or transporting a patient to our Emergency Department or Urgent Care: call 206-987-8899 or, toll-free, 866-987-8899 (Emergency Department Communications Center).
- Questions about scheduling and referrals, including locating or expediting a referral: call 206-987-2080 (Clinical Intake Nurses).
Learn more about managing your patients at Seattle Children’s, including viewing your patient’s records.
What your patients can expect
Families will be asked to complete an online application that includes a questionnaire and food intake record to help us understand their child’s and family’s needs.
After that, the patient will undergo an intensive feeding evaluation to determine if they are an appropriate candidate for the program.
Patients can expect to wait 1 to 2 months for an evaluation and 1 to 3 months after that for their first program appointment.
Before the program begins, the family will receive detailed instructions on how to prepare for the program.