Children's Health

Referring Physician Information / Pediatric Neurology

The Department of Pediatrics is here to assist community physicians and specialists with consultation and referral services. 

To refer a patient,

  1. Please enter the information below and 'Send Request;' or, fill out the physician referral form and fax to 801-587-7539.
  2. Send us all related clinic notes and diagnostic reports: by fax: 801-587-7539 or email:

Providers may also Contact a Neurologist ahead of time to discuss questions about referrals or this process.


Patient Information

Insurance Information

Primary Insurance
Secondary Insurance