Dermatology Now Requires a Referral for All New Patients

Rehab Medicine

  • New referral guidelines for Rehab Medicine are found here. Consulting the guidelines may help your patient be seen sooner and by the most appropriate provider.
  • Highlights:
    • Send any therapy notes with your referral (physical, occupational, speech).
    • We see patients through age 20 except for concussion, which we see through age 17.
    • Concussion: We see concussion patients only after they have been treated in primary care and have a referral from their provider. To know the best place to refer them at Seattle Children’s, see our Algorithm: Referring Your Patient With Concussion.
    • Back pain: We do not see patients for back pain when it is their primary complaint. Please consider referring these patients to our Pain Medicine Clinic.
    • Brachial plexus: Please refer these patients to our Brachial Plexus Clinic. A referral is required.

Biochemical Genetics

  • New referral guidelines for Biochemical Genetics are found here. Consulting the guidelines may help your patient be seen sooner and by the most appropriate provider.
  • Highlights:
    • Infants referred for an abnormal newborn screen will be seen promptly. When referring a newborn for an abnormal newborn screening report, please include the screening report(s).
    • Referrals for children with other disorders will typically be seen in four to six months. In some cases, we may be able to see a patient sooner by offering them an appointment with a non-physician provider.
    • Autism and developmental delays: Patients with isolated autism or developmental delays who require a genetics workup should be referred to Medical Genetics. Medical Genetics will refer back to us if appropriate.
    • Wilson disease: There are specific referral requirements when referring a patient for Wilson disease; see our website for a full list.
    • Congenital disorders of glycosylation (CDG): Before sending a referral, please call our Provider-to-Provider Line and ask to speak with someone on our team; it’s a complicated referral, and we want to give you support.
    • Please do not send your patient’s whole chart; send only notes and documentation specifically relevant to the disorder.


Reminder: Algorithms Are Available to Support Your Patient Care

Please visit to see three dozen algorithms created by our specialists with input from PCPs to support PCPs in managing common conditions in primary care. The algorithms also help PCPs know when to refer a patient to a specialist and which clinic to refer to.

Some examples:


Each clinic maintains up-to-date referral guidelines on its website’s “Refer a Patient” page.

Call to Action: Visit Algorithms for Referring Providers and Referral Information by Clinic, or save this handy reference sheet with embedded links to all algorithms and referral guidelines.

For More Information:  Email [email protected].