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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 


Fetal to Newborn Care Center referrals 

Referring a patient to the Fetal to Newborn Care Center is as simple as a phone call to 937-208-5181. Routine physician referrals can be made Monday through Friday, 8 am to 5 pm. Referring physicians will be guided through the referral process. We will also provide answers to your questions to deliver the high-quality care your patient deserves and expects. 

If your patient has an emergent need, please contact the high-risk OB maternal transfer team at 937-208-6841. 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. 

Contact Us

Do you have questions about your pregnancy and wonder if our services could be of assistance? Patients may contact our nurse navigator through the button below or at 844-542-4602.