Refer a Patient Form
Thank you for your referral to Riley Children’s Health. We look forward to working with you. Please complete the information below to expedite your referral.
About Our Process
After the referral and clinical records are received, our referral coordinators will contact the patient or parent/guardian to schedule an appointment. Once an appointment is set, we will contact the referring office with appointment information. If we cannot contact the patient or parent/guardian after three attempts, we’ll inform the referring office and the patient that the referral has been closed. Following the appointment, we’ll also confirm that clinical notes have been provided to the referring office.
Please contact 317.963.4601 with any questions (for Maternal Fetal Medicine, call 317.944.7010). If additional information is required for your referral, someone from the referral services team will contact you.