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Refer a Patient to Pediatric Services

Consultation & Referral Services

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

To refer a patient, please complete the form below and fax all related clinic notes and diagnostic reports to the specialty fax number.

If no fax or online referral form is listed, you will need to call the service directly.

Adolescent Medicine

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Cardiology

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Complex Care

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Endocrinology

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

GI

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Genetics

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Infectious Disease

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Nephrology

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

PM&R

  • Phone: 801-662-5888 
  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Pulmonary/Sleep Medicine

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600

Rheumatology

  • General Fax: 801-587-7539
  • Prescription Refills Fax: 801-213-7600