Refer a Patient
Urgent Referrals
Call 513-636-XFER (9337) or use the Bed Request Form in Epic Link.
Call 513-636-7997 or toll-free 1-888-987-7997.
Referring providers can connect with attending subspecialists anytime day or night.
Before sending a patient to the Burnet or Liberty Emergency Department, please complete one of the following options:
Option 1: Call the Access Hub
Call 513-636-9337 to discuss the referral with a triage nurse to ensure the appropriate level and location of care. Available 24/7.
A call is required for:
- ROSA or ROPA
- Trauma
- Orthopedic extremity factures requiring reduction
- Central line with fever
- Fever in an immunocompromised patient
- Any other clinical concern you would like to review
A call is also required if:
- A consult is needed
- The referral is a direct subspecialty referral
- Admission is a possibility
You may also call for any clinical concern you would like to review.
Option 2: Electronic Referral (Epic or Epic Link)
Send via Epic (Cincinnati Children's providers) or Epic Link (Non-Cincinnati Children's providers). Referrals may be placed by a provider or registered nurse.
To submit an electronic referral:
- In Epic Order Entry, search "Transfer Center Bed Request for Admission or ED Referral".
- Complete the required fields and sign the order.
- After submitting, you may call 513-636-9337 to speak with a triage nurse for care collaboration and to discuss the appropriate level and location of care. A nurse may call on behalf of the PCP if appropriate.
To obtain Epic Link access, contact Physician Outreach and Engagement at 513-636-6033.
Option 3: Fax ED Referral Form
Fax a referral form only if phone or electronic referral are unavailable.
To fax a ED Referral Form:
- Download and complete the ED Referral Form.
- Fax form to 513-636-4050.
- After faxing, call 513-636-1111 and select Option 9 to confirm receipt and review with a triage nurse.
Do not use this method if the patient is being transferred by EMS. Do not fax if an electronic referral was submitted.
Routine Referrals
To submit a referral, choose one of the following options:
Option 1: Download a Referral Form
- Download a form:
- Specialty Services Form
- OT/PT/Speech/Audiology Form
- Greater Louisville and Western Kentucky Rheumatology/Urology Form
- Complete and send it electronically or by fax to 513-803-1111 or 1-866-877-8905.
Option 2: Generate a Referral from EMR
- Generate a referral directly from your EMR and send it electronically or by fax to 513-803-1111 or 1-866-877-8905.
Option 3: Submit Through Epic Link
- Submit your referral through Epic Link.
Once the referral is sent, please have family call to schedule. Download a Patient Scheduling Pad to find the correct phone number.
Helpful Resources:
Scheduled Outpatient Orders
Step 1: Download the Required Form
Step 2: Submit the Form
- For X-rays: Fax the completed form to 513-803-1111 or 1-866-877-8905, and send a copy with the patient. (No appointment needed for X-rays.)
- For Routine Imaging or Ultrasound: Call 513-636-4251 to schedule an appointment.
Step 3: Scheduling a STAT Appointment
- Radiology/Imaging: Call 513-636-4251, then select Option 2.
- Ultrasound: Call 513-636-3177 and follow the prompts for same-day requests. (Do not fax the order to our referral team—our staff will provide the correct fax number based on the patient’s location.)
Helpful Resources:
Download a Diagnostic Testing order form.
Includes EKG, ECHO, EEG, EMG, PFT, DXA Scan, GTT and Sweat Chloride.
Once the referral is sent, please have family call to schedule. Download a Patient Scheduling Pad to find the correct phone number.
Download a Therapies, Perlman Center, and Audiology order form.
Includes Occupational Therapy / Physical Therapy, Perlman Center for Cystic Fibrosis, Speech Pathology, and Audiology services.
Once the referral is sent, please have family call to schedule. Download a Patient Scheduling Pad to find the correct phone number.
Download:
Helpful Resource:
Download a Pre-Procedure Physical Exam form.
Helpful Resource:
Walk-In Diagnostic Services
Download:
How to Submit Orders:
- Fax to 513-636-3918. To prevent processing delays, provide a paper copy to the patient.
Helpful Resources:
Contact Us:
- For lab questions or consultations, call 513-636-7355.
Download:
Ways to Submit Orders:
- Fax to 513-803-1111 or 1-866-877-8905. To prevent processing delays, provide a paper copy to the patient.
- Submit via your EHR. To prevent processing delays, provide a paper copy to the patient.
- Enter in EpicLink.
Helpful Resources:
Details to Include with a Referral
Required Information
To avoid scheduling delays, please ensure the following information is included with the referral:
- Patient Information: Full name, date of birth, and gender
- Referral Details: Date of referral/order and reason for referral
- Parent/Guardian Information: Name and phone number
- Primary Care Provider (PCP) Details: Practice name and PCP’s name
- Provider for Results: Name of the provider responsible for receiving results (if different from the PCP)
- Additional Requirements for Diagnostic Testing, Speech, OT/PT, and Audiology: All the above, plus a diagnosis code and PCP signature
Optional Information
While not required, the following details can help facilitate the referral process:
- Notes on pre-authorization process
- Clarification on referral type: consultation, transfer of care, or co-management
- Need for ancillary services (e.g., interpreter, transportation assistance)
- Parent/guardian email address
- Patient insurance details
- Name of the PCP office contact
To download medical records forms or learn how to request medical records, visit our Obtain Medical Records page.
3333 Burnet Avenue, Cincinnati, Ohio 45229-3026
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