Online Toolkit for Referring Practices

We want you to have all the information you need on Lurie Children's and our locations.

Contact Resources

• Quick reference phone and fax numbers
• Specialist referral guide
• Services by location​​​
• Maps & Schedules: Visit our Locations page. 

Patient Referral Fo​rms​

• Patient Consultation Form
• Generic Request for Service
• Endocrine Request for Service
• Orthopaedics Request for Service
• Neurology Request for Service
• Otolaryngology/H​​ead & Neck Surgery Request for Service
• Gastroenterology Request for Service
• Dentistry General Anesthesia Consultation Request for Service

Laboratory Requisitions

• Outpatient Requisition
• RAST Requisition
• Blood Bank Order Form
• PHOX2B Requisition
• PHOX2B Patient Information & Billing Form
• CDH Requisition for Specialty Labs

LurieMD 

Physicians can call 1.855.LurieMD (1.855.587.4363) to ask a Lurie Children’s specialist for general recommendations about a patient condition, to discuss any next steps or to determine if a patient should be admitted. 

With LurieMD, you will talk to someone live and get a call back from a Lurie Children’s specialist within 30 minutes or by end of the business day, depending on YOUR urgency.  

The 1.855.LurieMD hotline is easy to use and available 24/7, 365 days. Dial the toll-free number to be connected with a Lurie Children’s team member who will help identify the specialty service on call and connect you with an attending physician or a fellow. 

1. To transfer a patient into or out of Lurie Children’s, PRESS 1 
2. To consult with an Emergency Department (ED) physician, PRESS 2
3. To reschedule a patient’s existing appointment, PRESS 3
4. To speak with a Lurie Children’s specialist, PRESS 4
5. Admission not requiring transport or ED, PRESS 5
   • Admit today, PRESS 1
   • Future admit, PRESS 2

Please note, families can also call 1.800.KIDS DOC® for first-time appointments.

Second Opinion for Complex Pediatric Cases

Physicians are welcome to call 312.227.6690 for complex pediatric medical issues without a clear diagnosis. Our Diagnostic and Consultation Service is operated by physicians in the hospital's Academic General Pediatrics & Primary Care division.

Telemedicine

Using a variety of telecommunication technologies, including real-time video conferencing, the Lurie Children’s Care Connect programs can provide accessible, high-quality healthcare for every child, regardless of where they are located. Click here to learn more about telemedicine at Lurie Children's.