Dayton Children's is available to assist referring providers and their patients with an array of services. You may refer patients to the hospital, to a particular service or to an individual specialist for consultation, diagnosis or treatment.
referral form options
Please use the forms below to refer to one of our over 30 specialty clinics.
- Referral for specialty services
- Children's Home Care of Dayton
- Mental Health Resource Connection
- Newborn follow-up clinic
- Rehabilitation services - speech, PT, OT, audiology
- Synagis clinic
labs, imaging and testing
To order labs, imaging or testing, please use these forms
- Diagnostic testing order form
- Genetics lab order form
- Medical imaging – main and south campus
- Medical imaging- springfield Ohio Pediatric Care Alliance
- Outpatient testing center