patient referrals
Dayton Children’s works with community providers to ensure children are connected to the right specialists and resources for their care.

ways to submit a referral
By phone call: 937-641-4000
Hours: 7:30 am – 5:00 pm
Monday – Friday
By fax: Local fax: 937-641-4500
Toll-free fax: 1-866-891-6941
Hours: 24/7
referral options
Please use the forms below to refer to one of our specialties. For more information about referring to a specific specialty, view our referral guide to services.










abs, imaging & testing referrals
To order labs, imaging or testing, please use these forms. Any genetic testing requires a referral to medical genetics using the specialty services form. View the lab manual here.
online referral for specialty care services
together, we care for kids.
From patient referrals to continuing education and more, Dayton Children’s is here to support you in every step of your journey as a healthcare professional.
