Referral requirements
A referral is required for an appointment to be scheduled and to assure communication to the referring provider after the visit occurs. Please submit a referral containing all the documentation below to ensure quicker and accurate referral processing and scheduling.
We encourage use of our New Appointment Request Form (NARF) (PDF, DOC). For patients in Alaska, please use our Pediatric Cardiology of Alaska NARF (PDF, DOC).
- Service/specialty clinic requested
- Reason for referral: what is the clinical question for the specialist?
- If you are referring for testing only, such as an ECG or echocardiogram, please note it on the referral, i.e., write “ECG Only” or “Echo Only”
- If the referral is urgent (see within 5 days) or routine (next available) (note: our team will triage all urgent referrals and schedule in a clinically appropriate timeframe)
- ICD-10 diagnosis
- Visit type:
- New patient consult, transfer of care, second opinion or return visit/ongoing care
- ALL relevant clinical documents
- Clinic notes
- Medication history
- Growth charts/curves
- Lab reports
- Imaging and diagnostic reports
- Previous specialty evaluations
- Patient’s full name, DOB, sex, address, guardian contact information and insurance
- Referring provider’s name, phone, fax and the referral coordinator’s email address so that we may contact you if additional information is needed
- Preferred Heart Center location (see above)
- If an interpreter is needed
- Any known barriers to performing a successful telehealth (video) visit with the family
Imaging and diagnostic reports: No pre-referral workup is required for most conditions. However, if you have already done testing such as an ECG, Holter monitor or echocardiogram, please include this information as well as relevant clinic notes with your referral.
Please note:
- We see patients up to age 21. However, at this time, referrals for Cardiogenetics for patients 18 and older are being forwarded to the UW Medicine Heart Institute.
- Patients need a new referral if they have not been seen by the Heart Center in the last 2 years, except for patients we have asked to follow up in 3 to 5 years.
- Heart murmur referrals: Please consider sharing the heart murmur information for families found on our website. It may offer reassurance before the family’s visit.
- Hypertension referrals will be directed to Nephrology.
- Hyperlipidemia referrals will be directed to Endocrinology.
- Concussion referrals will be directed to our Sports Concussion Program, Neurology or Rehab Medicine unless there is a concern about a cardiac issue being present.
- Referrals for syncope/presyncope (fainting/dizziness) may be redirected by our intake nurses to Neurology or Otolaryngology. Our decision trees are below. Resources to assist PCPs managing syncope and dizziness are found below in “Resources for Providers.”
ECG (EKG) and echocardiogram
- ECG (EKG)
- Ordering a test: Submit a NARF (new appointment request form) clearly stating “ECG only” along with diagnosis or indication. There is no facility fee.
- Interpretation: We offer ECG interpretation to community providers in Washington, Alaska and Montana, which includes a reading of the ECG but not guidance on management of the patient. Learn more.
- Echocardiogram
- Ordering a test: Submit a NARF (new appointment request form) clearly stating “Echocardiogram only” along with diagnosis or indication. There is no facility fee.
- Ordering a fetal echocardiogram: Use the Fetal Care Appointment Request Form (PDF) (DOC) and see the referral guidelines for our Fetal Diagnosis Program.
- Interpretation: We offer tele-echo interpretations to facilities in Washington, Alaska and Montana. Learn more.
We’re Committed to Partnering With You
Seattle Children’s is always available to answer questions and support your care of your patients.
- To discuss whether your patient needs to be seen the same or next day, or for diagnosis and treatment options, call the on-call cardiologist on the Provider-to-Provider Line: 206-987-7777.
- For clinical support of inpatient infants and children with cardiac needs at Evergreen Hospital Medical Center, Overlake Medical Center, Providence Regional Medical Center-Everett or University of Washington Medical Center, call our Puget Sound Regional Cardiology Consult Service at 206-987-5760.
- Referring or transporting a patient to our Emergency Department or Urgent Care: call 206-987-8899 or, toll-free, 866-987-8899 (Mission Control).