REFERRAL INSTRUCTIONS
For new referrals, be sure that your referral request includes the following items:
- Physician Name, Office Address and Phone Number
- Patient Name, Date of Birth and Parent or Guardian's Name
- Reason for Referral
- Clinic Name (see below for full list) or Physician Name for your referral
- Insurance Information for Patient
- Authorization (when required)
Most physician offices have a standard referral form in use. If your office would prefer to use our Children's Referral Form, please download and complete it and fax or scan it back to us. We look forward to assisting your patients in obtaining the care that they need.
CLINIC REFERRAL LIST
Adolescent Medicine
Fax: 323-953-8116
Phone: 323-361-2153
Allergy & Immunology
Fax: 323-361-1191
Phone: 323-361-2501
Autism Spectrum Disorder Assessment
Fax: 323-361-8196
Phone: 323-361-6102
Bone Marrow Transplant
Fax: 323-361-8068
Phone: 323-361-2546
Cardiology
Fax: 323-361-1513
Phone: 323-361-2461
Cardiothoracic Surgery
Fax: 323-361-3668
Phone: 323-361-4148
Cardiothoracic Transplant Program
Fax: 323-361-7979
Phone: 323-361-5965
Craniofacial
Fax: 323-361-3632
Phone: 323-361-4543
Dentistry
Fax: 323-361-1090
Phone: 323-361-2130
Dermatology
Fax: 323-953-8116
Phone: 323-361-4191
Developmental-Behavioral Pediatrics
Fax: 323-361-8196
Phone: 323-361-6102
Developmental Disorders
Phone: 323-361-2300
Diabetes
Fax: 323-361-8065
Phone: 323-361-4606
Dialysis
Fax: 323-361-4539
Phone: 323-361-2560
Endocrinology
Fax: 323-361-8065
Phone: 323-361-4606
ENT / Otolaryngology
Fax: 323-361-3717
Phone: 323-361-2145
Gastroenterology
Fax: 323-361-3718
Phone: 323-361-2181
General Pediatrics (AltaMed)
Fax: 323-361-7926
Phone: 323-669-2534
Hearing and Speech
Fax: 323-361-1835
Phone: 323-361-4028
Hematology/Oncology
Fax: 323-361-3642
Phone: 323-361-4100
Imaging Services
Fax: 323-361-5169
Phone: 323-361-2411
Imaging Evaluation Form
Infectious Diseases
Fax: 323-361-1183
Phone: 323-361-2509
Kidney Transplant Program
Fax: 323-361-1184
Phone: 323-361-2102
Liver & Intestinal Transplant Program
Fax: 323-361-3612
Phone: 323-361-5454
Maternal & Fetal Health
Fax: 323-361-6069
Phone: 323-361-7042
Medical Genetics
Fax: 323-361-1172
Phone: 323-361-2178
Mental Health
Fax: 323-361-3843
Phone: 323-361-2350
Mitochondrial Disorders Clinic
Fax: 323-361-1172
Phone: 323-361-2178
Neonatology
Fax: 323-361-4016
Phone: 323-361-2531
Nephrology
Fax: 323-361-1184
Phone: 323-361-2102
Neurology
Fax: 323-361-1109
Phone: 323-361-2471
Neurosurgery
Fax: 323-361-3101
Phone: 323-361-2169
Ophthalmology
Fax: 323-361-1592
Phone: 323-361-2347
Orthopaedic Surgery
Fax: 323-361-3116
Phone: 323-361-2142
Outpatient Registration
Fax: 323-361-6050
Phone: (800) 877-2452
Pain Management Clinic
Fax: 323-361-1001
Phone: 323-361-7686
Pathology and Laboratory Medicine
Fax: 323-361-8004
Phone: 323-361-2469
Pediatric Surgery
Fax: 323-361-4775
Phone: 323-361-2322
Physical / Occupational Therapy
Fax: 323-361-8166
Phone: 323-361-2118
Plastic Surgery
Fax: 323-361-3632
Phone: 323-361-2154
Psychiatry
Fax: 323-361-2019
Phone: 323-361-3430
Pulmonary Clinic
Fax: 323-361-4533
Phone: 323-361-2287
Pulmonary Function Lab
Fax: 323-361-1364
Phone: 323-361-2162
Radiation Oncology
Fax: 323-361-7977
Phone: 323-361-2417
Radiology
Fax: 323-361-5169
Phone: 323-361-2411
Radiology Evaluation Form
Rehabilitation
Fax: 323-361-8166
Phone: 323-361-2231
Rheumatology
Fax: 323-361-1130
Phone: 323-361-2119
Scoliosis
Fax: 323-361-3116
Phone: 323-361-2142
Sleep Center
Fax: 323-361-1364
Phone: 323-361-2287
Spina Bifida
Fax: 323-361-8566
Phone: 323-361-2384
Teenage Health Center
Fax: 323-361-8116
Phone: 323-361-2153
Urology
Fax: 323-361-8034
Phone: 323-361-2247
