Referral Guidelines

Developed by CHOC Children’s Specialists, in partnership with community physicians, these guidelines provide you with useful information in working up your patients, and contribute to making the appointment itself most meaningful by having the right clinical information available.

Listed below are the specialties that currently have guidelines. Updates, as well as additional specialties and diagnoses, are added regularly.

  Allergy & Immunology

• Allergy & Immunology Referral Guidelines: Allergic Rhinitis, Anaphylaxis

   

  Cardiology

• Cardiology Referral Guidelines: Heart Murmur, Chest Pain, Syncope, Palpitations, Arrhythmia, Abnormal ECG, Hyperlipidermia, Genetic Disorders, Hypertension, Attention Deficit Disorder

   

  Endocrinology

• Endocrinology Referral Guidelines: Growth Disorders, Thyroid Disorders and Pubertal Disorders including, Congenital Hypothyroidism (Neonate), Congenital Hypotheyroidism (Child), Acquired Hypothyroidism, Autoimmune Thyroiditis/Hypothyroidism, Central Hypothyrodism, Acquired Hyperthyroidism, Auntoimmune Hyperthyroidism (Grave’s Disease), Neonatal Hyperthyroidism, Goiter, Thyroid Nodule, Diabetes Mellitus Type 1 & Type 2, Hyperglycemia, Impaired Glucose Tolerance, Impaired Fasting Glucose, Morbid Obesity, Acanthosis Nigricans, Short Stature, Failure to Thrive, Precocious Puberty/Premature Thelarche (Girls), Precocious Puberty (Boys), Premature Adrenarch (Girls), Premature Adrenarch (Boys), and Delayed Puberty.

   

  Gastroenterology

• Gastroenterology Referral Guidelines: Chronic Abominal Pain, Celiac Disease, Crohn’s Disease, Diarrhea, Hematochezia, Food Allergy, Peptic Ulcer Disease, Gastro Esophageal Reflux (GER), Vomiting, Constipation, Failure to Thrive.

   

• Gastroenterology Fax Referral Form: Abdominal Pain, Diarrhea, Weight Loss, GI Bleed, GERD, Jaundice, Constipation, Growth Failure, Vomiting

   

  Hematology

• Hematology Referral Guidelines: Anemia, Thrombocytopenia, Neutropenia, Coagulation Defect, Recurrent Infections

   

  Hospitalist

• Hospitalist Preference Form

   

  Neurology

• Neurology Consultation Request Form: Non-Febrile Seizures, Intractable Epilepsy, Neuromuscular Disorders, Headaches with Neurological Findings

   

• Neurology Referral Guidelines: Recurrent Unprovoked Seizures (Epilepsy), Febrile Seizures, First Unprovoked Seizure, Developmental Delay, Tics, Tourette’s, Autism, Pervasive Developmental Disorder, Concussion, Headaches

   

  Nephrology

• Nephrology Referral Guidelines: Microhematuria, Gross Hematuria, Proteinuria, Acidosis, Cystic Kidneys, Hypertension

   

  Ophthalmology

• Ophthalmology Referral Guidelines: Visual Behavior / Acuity, Eyelids, Nasolacrimal System, Anterior Segment, Ocular Media. Sensorimotor System (Pupils and Ocular movements), Prematurity, Systemic Disorders, Congenital Deformities & Syndromes, and Non Accidental Injury

   

  Pulmonology

• Pulmonology Referral Guidelines: Asthma, Recurrent Cough or Wheeze, Bronchopulmonary Dysplasia, Chronic Lung Disease, Chronic Cough, Recurrent Pneumonia, Noisy Breathing, Chest Pain, Tachypnea, Sleep Apnea, and Cystic Fibrosis

   

  Rheumatology

• Rheumatology Intake Form

   

• Rheumatology Referral Guidelines: Arthralgias, Joint Swelling, Joint Contracture, Limp Joint, Back Pain, Malar Rash, Proteinuria, Hematuria, Unexplained Fevers, Weight Loss, Skin Tightening, Extremity Color Changes, Iritis, Chronic Pain, Positive (+) ANA, Systemic Juvenile Idopathic Arthritis (JIA), Periodic Fevers Syndromes, Raynaud’s Phenomenon, Sceleroderma, Sarcoid, ANCA Vasculitis, Fibromyalgia, Pauci, Hashimoto’s

   

Please note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.