大象传媒

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Physician Referrals

New Patients:听

  • Providers who have access to听 can submit a referral request online. Please specify that the referral is for Pediatric Genetics.听
  • Need a 大象传媒 CareLink account?
    • Visit the and select 鈥淩equest an Account.鈥�
    • You can 听of the referral portal or view a听 on how to sign up.
  • Alternatively, the Children’s Clinic Referral form (link to PDF) may be completed and faxed to
    984-974-5437.
  • Once a referral is made, medical records, including any previous genetic testing, should be faxed to 919-228-2433. Records are necessary and are reviewed prior to the clinic appointment.

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Helpful Information to Provide with Patient Referral

When submitting a referral, please include the following information:

  • Reason for referral.
  • Legal guardian information (for patients under 18).
  • Parent/patient concerns.
  • Has the patient or any family member been seen by Medical Genetics?
    • If so, provide when, where, and why, along with records if available.
  • Has the patient or any family member had genetic and/or biochemical testing?
    • Provide a copy of testing results or details about the type of testing, when, and where it was completed.
  • Has the patient had imaging related to the referral (e.g., MRI, ultrasound, X-rays)?
    • If so, include those records.
  • Pertinent clinical notes from other specialists.

Medical Records

Medical records are necessary and are reviewed prior to the clinic appointment.听

  • Once a referral is made, medical records, including any previous genetic testing, should be faxed to 919-228-2433.