Academic General Pediatrics
Phone: 616.391.8810
Fax: 616.391.8897
Adolescent & Young Adult Medicine
Fax: 616.391.2505
Epic
Great Lakes Health Connect
Pediatric Allergy & Immunology
Phone: 616.267.8150
Fax: 616.267.2851
Pediatric Anesthesiology
Phone: 616.364.4200
Fax: 616.364.7347
Pediatric Biochemical Genetics
Phone: 616.486.9830
Fax: 616486.9831
Pediatric Blood Management
Fax: 616.267.0090
Pediatric Blood and Bone Marrow Transplant
Phone: 616.391.9127
Fax: 616.391.9233
Pediatric Cardiology
Phone (Grand Rapids): 877.391.2345
Phone (Lansing): 517.484.0004
Peter and Joan Secchia CarePartners Program
Phone 616.267.0868
Fax: 616.267.0362
Center for Child Protection
Phone: 616.391.1242
Fax: 616.391.3206
Congenital Heart Center
Phone: 616.267.9150
Fax: 616.267.1408
Pediatric Critical Care and Sedation Services
Phone: 616.267.1100
Fax: 616.267.0090
Pediatric Dentistry
Pediatric Dermatology
Phone: 616.486.5885
Fax: 616.391.1191
In order to process your referral, we will need the following information:
- Patient information
- Reason for referral
- Referring Provider
Pediatric Diabetes & Endocrinology
Phone: 616.391.3933
Fax: 616.391.6240
Pediatric Gastroenterology
Phone: 616.267.2100
Fax: 616.267.2101
Pediatric Genetics
Phone: 616.391.2700
Fax: 616.391.3114
Healthy Weight Center
Phone: 616.391.7999
Fax: 616.391.8750
Epic
Epic Carelink
Great Lakes Health Connect
Pediatric Hematology/Oncology
Phone: 616.267.1908
Fax: 616.267.1005
Pediatric Hospitalists
Phone: 616.267.0011
Fax: 616.267.0090
Pediatric Infectious Diseases
Phone: 616.267.2300
Fax: 616.267.2301
Epic
Along with the referral form, please also fax:
- Labs, medication sheet, office visit notes pertaining to diagnosis
- Immunization record and growth chart
Intensive Feeding Program
Phone: 616.486.6870
Fax: 616.267.0090
Neonatology
Phone: 616.267.1300
Pediatric Nephrology and Kidney Transplant Program
Phone: 616.267.2400
Fax: 616.267.2401
Neurodevelopmental Pediatrics
Phone: 616.267.2009
Fax: 616.267.2010
In order to process your referral, we will need the following information:
- Complete growth curves including head circumference
- Results of any prior developmental evaluations (i.e. early on, special education or therapist reports)
Pediatric Neurology
Phone: 616.267.2500
Fax: 616.267.2501
Pediatric Neurosurgery
Phone: 616.267.2150
Fax: 616.267.2571
Pediatric Ophthalmology and Optometry
Phone: 616.267.2605
Fax: 616.267.2606
Pediatric Oral Cleft Clinic
Phone: 616.391.2320
Pediatric Orthopedics
Fax: 616.267.2601
Pediatric Otolaryngology
Phone: 616.267.7758
Fax: 616.267.7290
Pediatric Pain and Palliative Medicine
Phone: 616.391.8842
Fax: 616.391.9430
Pediatric Plastic & Craniofacial Surgery
Phone: 616.486.5885
Fax: 616.391.1191
Pediatric Psychiatry
Phone: 616.267.2850
Fax: 616.267.9023
Pediatric Psychology
Phone: 616.267.2830
Fax: 616.267.9024
Plastic Surgery & Dermatology
Phone: 616.486.5885
Fax: 616.391.1191
Pediatric Pulmonology and Sleep Medicine
Phone: 616.267.2200
Fax: 616.267.2202
Along with the referral form, please also fax:
- Any radiology studies conducted (please arrange for the patient to bring the actual images to their appointment)
- Labs, medication sheet, office visit notes pertaining to diagnosis
- Immunization record and growth chart
Pediatric Radiology
Phone: 616.391.1810
Toll-free: 877.691.4061
Fax: 616.391.3753
Pediatric Rehabilitation Upper Extremity Services
35 Michigan St. NE, Suite 4218
Grand Rapids, MI 49503
Phone: 616.267.2980
Fax: 616.267.2981
15100 Whittaker Way
Grand Haven, MI 49417
Phone: 616.935.6280
Fax: 616.935.6285
515 E. Division St., Suite 145
Rockford, MI 49341
Phone: 616.267.8715
Fax: 616.267.8709
8333 Felch Street, Suite 101
Zeeland, MI 49464
Phone: 616.772.5795
Fax: 616.741.5622
Pediatric Rheumatology
Phone: 616.267.2700
Fax: 616.267.2701
Pediatric Surgery
Phone: 616.458.1722
Fax: 616.458.0061
Pediatric Travel Medicine
Phone: 616.267.2300
Fax: 616.267.2301
Along with the referral form, please also fax:
- Labs, medication sheets and office visit notes
- Immunization record
- List of planned destination(s) of travel
Pediatric Urology
Phone: 616.459.4171
Fax: 616.459.0044
Pediatric Vascular Anomalies Clinic
Phone: 616.267.1925
Fax: 616.267.1005