Refer a Patient
If you are unsure about whether to refer your patient, please call our Clinical Intake Nurses at 206-987-2080.
If you are unsure whether to refer your patient to Pediatric and Adolescent Gynecology or our Reproductive and Sexual Health clinic, reference our schedulers’ decision tree (PDF).
Updated October 2020.
We are accepting new referrals. A referral is not required, but the information you provide will help us serve your patient better.
There is usually very little wait time for an appointment. During the spread of COVID-19, we are working to offer telehealth appointments and limited in-person appointments.
When submitting a referral, please ensure that it is complete. This helps us schedule your patient’s appointment in a timely manner and ensure their first visit is smooth and productive.
- Service/specialty clinic requested
- Reason for referral: what is the clinical question for the specialist?
- If the referral is urgent (see within 4 weeks) or routine (next available)
- ICD-10 diagnosis – required
- Visit type:
- New patient consult, transfer of care, second opinion or return visit/ongoing care
- ALL relevant clinical documents
- Most recent heart rate and blood pressure
- Clinic notes
- Medication history
- Growth charts/curves
- Lab reports
- Diagnostic reports (e.g., ultrasound, MRI, CT) and imaging
- Previous specialty evaluations
- Patient’s full name, DOB, sex, address, guardian contact information and insurance
- Referring provider’s name, phone, fax and the referral coordinator’s email address so that we may contact you if additional information is needed
- Preferred clinic location
- If an interpreter is needed
- Any known barriers to performing a successful telehealth (video) visit with the family
- We see patients ages 12 to 20 years old.
- If you are referring a patient for menstrual suppression, please first review the table in “Menstrual Suppression for Adolescents” (Spanish version) with your patient.
Submit a referral
- New Appointment Request Form (PDF) (DOC)
- Step-by-Step Guide to Submitting a Referral
- New Patient Referral FAQ
Please call our Clinical Intake Nurses if you need assistance: 206-987-2080.
We’re committed to partnering with you
- 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.
We see patients in Seattle at our Springbrook Professional Center next to the hospital and at our Bellevue Clinic and Surgery Center. See our locations.
What Your Patients Can Expect
- There is usually little to no wait for an appointment but during the spread of COVID-19 waits may be longer. Telehealth appointments are being offered to patients when appropriate.
- A family’s first appointment will include meetings with more than one provider and a social worker when appropriate.
- First appointments typically last at least 2 hours.
- At the first appointment, we meet with the caregiver and patient together and also meet separately with the patient alone if they are over the age of 12.
- Depending on the concern, a physical exam, including a pelvic exam, may be indicated.
- At times we have trainees in the clinic, including students, residents and fellows.
Resources for Providers
- Menstrual Suppression for Adolescents (PDF) (Spanish)
- Summary Chart of U.S. Medical Eligibility Criteria for Contraceptive Use
- Gynecology or Reproductive and Sexual Health Referrals (PDF)
To suggest additional resources from Seattle Children’s that would be useful to primary care providers, please email us.