Pediatric Outpatient Referrals

Communicating About Referrals

Making the Referral

Epic practices:

• Submit referral directly through Epic for all pediatric specialties except Allergy & Immunology, Orthopedics and Rheumatology. See referral pathways below.

Non-Epic practices and to refer to Allergy & Immunology, Orthopedics and Rheumatology:

• Submit referral via fax, numbers provided below.

For EMERGENT questions on potential referrals, all transfers and critical care transports

1. Call OneCall at 207-662-6632
2. OneCall will page the provider on call

For NON-EMERGENT questions on potential referrals

Epic Practices – use Epic inbasket message to communicate with Epic sub-specialists:

• Only for non-urgent communications
• Response from specialist typically within 2 business days
• Inbasket messages should go to provider pools. Pool names are listed below.
• Regular email should not be used for these type of referral questions

Non-Epic Practices – call office phone and leave a message:

• Call practice number to leave message for on-call provider
• Do not page or directly contact provider for non-emergent questions

Non-urgent questions about potential referrals should be sent via Epic In Basket messaging to the appropriate group of pediatric sub-specialists. You can search for the provider pools by clicking the “To…” button in an in basket message and searching in the “Pools” search bar for the name listed below:

Adolescent and Young Adult Medicine Referral Questions

Pediatric Cardiology Referral Questions 

Pediatric Behavioral/Developmental Referral Questions

Pediatric Diabetes Referral Questions

Pediatric Endocrinology Referral Questions

Pediatric Genetics Referral Questions

Pediatric Gastroenterology Referral Questions

Pediatric Hematology/Oncology Referral Questions

Pediatric Infectious Disease Referral Questions

Pediatric Nephrology Referral Questions

Pediatric Neurology Referral Questions

Pediatric Psychiatry Referral Questions

Pediatric Pulmonary Referral Questions

Pediatric Surgery Referral Questions

Pediatric Urology Referral Questions

Referral Guidelines

Referral guidelines are meant to help primary care providers decide if specialty referral is needed. They are not intended to be comprehensive management algorithms.

CMEs

• Referral Guidelines

Dental

• Dental Caries Primary Teeth | Video
• Dental Caries Permanent Teeth
• Dental Trauma Primary Teeth
• Dental Trauma Permanent Teeth | Video

Developmental & Behavioral

• ADHD| Video
• Teacher Questionnaire
• Clinical Attention Problem Scale
• Concerns for Autism
• Developmental Delay

Diabetes & Endocrinology

• Concerns for New Diabetes Type 1 or 2 | Video
• Childhood Overweight & Obesity | Video
• Concerns for Early Puberty
• Short Stature | Video
• Elevated TSH

Genetics

• Family History of a Genetic Condition
• Joint Hypermobility

Gastroenterology

• Constipation < 6 Months of Age
• Constipation | Video |Scoop on Poop pdf
• Elevated Liver Enzymes
• GERD < 12 months
• GERD | Video

Gender Clinic

• Transgender & Gender Non-Conforming Youth

Hematology/Oncology (Maine Children’s Cancer Program)

• Abnormal Heme Newborn Screen
• Childhood Anemia | Video
• Childhood Polycythemia
• Bleeding
• Generalized or Focal Lymphadenopathy | Video
• Neutropenia
• Thrombocytopenia in Patient >3 Months
• Thrombosis

Infectious Disease

• Clostridium Difficile
• Suspected Tuberculosis

Nephrology

• Enuresis
• Pediatric Hypertension
• Proteinuria
• History of UTI Guidelines | Video on UTI Guidelines

Neurology

• Headache | Video
• Movement Disorders
• Seizures

Palliative Care

• Pediatric Palliative Care | Video

Pulmonology

• Asthma | Video
• Chronic Cough > 4 Weeks Duration | Video
• Cystic Fibrosis | Video
• Infantile Wheezing (<24 Months Old)
• Neuromuscular Weakness
• Recurrent Pneumonia
• Snoring | Video
• Vocal Cord Dysfunction

Sports Medicine

• Pediatric Head Injury/Concussion
• Pediatric Overuse Injuries

Surgery

• Inguinal Hernia vs. Hydrocele | Video
• Umbilical Hernia | Video
• Undescended Testicle | Video