Patient referral toolkit

COVID-19 resources
EpicCare Link
Find a doctor
Forms
Health literacy
Co-management guidelines
Medical staff verification
Patient handouts/Teaching sheets
Pocket Directory
Pocket Directory request form
Referral guides
Request an appointment
Transport

Pocket Directory request form

The most recent list of Children's Specialty Group pediatric staff members is available. Download an online version or request a printed version of the most recent CSG Pocket Directory at mdconnect@childrenswi.org.

First name

Last name

Credentials

Specialty

Practice name

Address 1

Address 2

City

State

County

Zip

Phone

E-mail

Quantity of pocket directories

Other

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Refer a patient

To refer a patient, contact Central Scheduling.

(414) 607-5280

Fax: (414) 607-5288
Toll-free: (877) 607-5280

Request an appointment

Physician consultation line

Staffed 24 hours a day.

Refer a patient
Discuss a case
Arrange a transport
Direct admission

(414) 266-2460

Toll-free: (800) 266-0366