refer a patient
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.
Please use the forms below to refer to one of our over 30 specialty clinics.
Directly submit online referral for specialty services
Print and fax the referral for specialty services form to 937-641- 4500
If your patient has an emergent need, please contact the communications center at Dayton Children’s at 937 641-4385. Physicians, emergency departments and intensive care units can call this number 24/7 to admit a patient or arrange for transport via CareFlight Air and Mobile Services for urgent referrals and transports.