Referral Request Forms

If you wish to transfer or refer a patient to one of our specialists, please use the information provided. We will aim to provide your patient with the highest quality care.

Transport a Patient

Do you need a higher level of care or phone consultation?

• Call our NICU Transport Team: 888-393-NICU(6428) 
• Call our PICU Transport Team: 888-733-PICU (7428)

Loma Linda University Health CareLink

We provide referring physicians with a simple way to share information to improve patient care. With CareLink, there are easy, paperless referrals, automatic follow-ups and nothing to install.

• Access CareLink
• Request a CareLink account
• Learn more about CareLink

Our Specialties

Maternal Fetal Medicine

• Scheduling Line: 909-558-4771
• Fax: 909-946-6598
• Referral Request Form

Pediatric Allergy, Immunology, Pulmonary

• Scheduling Line: 909-651-1901
• Fax: 909-651-4257
• Referral Request Form
• Allergy Referral Guidelines
• Pulmonary Referral Guidelines

Pediatric Cardiology

• Scheduling Line: 909-558-4207
• Fax: 909-651-4257
• Referral Request Form
• Referral Guidelines

Pediatric Diabetes and Endocrine Center

• Scheduling Line: 909-558-5138
• Fax: 909-835-1855
• Referral Request Form
• Referral Guidelines

Pediatric Gastroenterology

• Scheduling Line: 909-651-1899
• Fax: 909-558-3906
• Referral Request Form
• Referral Guidelines

Pediatric Genetics

• Scheduling Line: 909-558-3904
• Fax: 909-651-4257
• Referral Request Form
• Referral Guidelines

Pediatric Hematology / Oncology

• Scheduling Line: 909-651-1910
• Fax: 909-651-1933
• Referral Request Form
• Referral Guidelines

Pediatric Infectious Disease

• Scheduling Line: 909-651-1904
• Fax: 909-651-4257
• Referral Request Form
• Referral Guidelines

Pediatric Nephrology

• Scheduling Line: 909-651-1904
• Fax: 909-651-4257
• Referral Request Form
• Referral Guidelines

Pediatric Neurology

• Scheduling Line: 909-651-1810
• Fax: 909-651-4257
• Referral Request Form
• Referral Guidelines

Pediatric Neurosurgery

• Scheduling Line: 909-558-6388

Pediatric Rheumatology

• Scheduling Line: 909-651-1904
• Fax: 909-651-4257
• Referral Request Form
• Referral Guidelines

PNAP

• Referral Guidelines

Pediatric Urology

• Referral Guidelines