Our team of specialists is committed to partnering with community pediatricians and health care providers. To help further this partnership, we have compiled tools and resources that you may find helpful for your practice:
- Referral Pad Request Form
Practices may now request referral pads online by filling out our Referral Pad Request Form. - Physician Change of Address Form
To ensure referring doctors receive feedback on their patients, including faxed discharge reports from the Emergency Department or other inpatient units, please fill out our form to update your address. - Diagnostic Imagining and Radiology – Locations and Services
Download our fact sheet to see all our locations, hours, contact information and list of services for imaging and radiology. - Imaging Order Forms – Montgomery County and Prince George's County
Download imaging order forms for the Maryland locations. - Physician Access Line, 202-476-4880
Reach one of our expert physicians to consult about your patients. - Provider Portal
Log in to check real-time information on your referred patients at Children’s National. - Surgical History & Physical - Interdisciplinary Patient Assessment (H&P Form)
Maryland Referral Pads
Download our referral pads for Eastern Maryland including Prince George's County, Howard County, Annapolis, Salisbury and Western Maryland including Washington, D.C., Montgomery County and Frederick County.
Northern Virginia Referral Pads
Download our outpatient appointment referral pads for Northern Virginia area available in English and in Spanish.
