Information for Referring Health Care Providers
Effective October 3, 2011, the routes to get to Packard Children’s Hospital and our outpatient clinics in Palo Alto will change due to Project: Renewal construction work. Please view the new maps and directions.All new patients must be referred to the Perinatal Diagnostic Center by a health care provider.
Referring providers should print out and complete the appropriate form below. Please fax the completed form, along with any necessary lab results, to:
| Referral Form |
Fax |
Phone |
|
| Perinatal Genetics Amniocentesis, chorionic villus sampling (CVS), nuchal translucency (with genetic counseling) and genetic counseling |
Form (PDF) |
(650) 725-2878 |
(650) 723-5198 |
| Perinatal Diagnostic Center Level II ultrasounds, non-stress tests, and consultations with maternal-fetal medicine specialists |
Form (PDF) |
(650) 725-9877 |
(650) 725-7030 |
| Center for Fetal and Maternal Health Clarification of a fetal diagnosis and/or coordination of prenatal and subsequent pediatric care |
Form (PDF) |
(650) 723-6607 |
(650) 724-2221 |
| Fetal Cardiology Echocardiograms |
Form (PDF) |
(650) 497-8422 |
(650) 721-2121 |
The results of your patient’s tests or a summary of a consult or genetic counseling meeting will be sent to you as soon as possible.