Referral Guidelines Before you make a referral for specialty care, please consult these referral guidelines developed as part of our Co-Management initiative. To access our Co-Management modules, please click here. Cardiology Adult Congenital Heart Disease (references) Heart Murmur (references) Updated April 2017 Syncope (references) Developmental & Behavioral Pediatrics Autism (references) Updated February 2017 Comprehensive Down Syndrome Program (references) Updated March 2017 Endocrinology Early Onset Pubic Hair (references) Updated April 2017 Elevated TSH with Normal Thyroid Hormone Level (references) Updated May 2018 Gender Dysphoria (Gender Incongruence) (references) Updated March 2017 Overweight/Obesity (patient/family handout) (patient/family handout 2)Updated June 2017 Vitamin D Deficiency (references) (patient/family handout 1) (patient/family handout 2) Updated May 2017 Endocrinology, Surgery, Radiology, Nuclear Medicine, ENT, Pathology Thyroid Nodule (pathway) (references) Ear, Nose & Throat Stridor (references) Epistaxis (references) Otitis Media (references) Food Allergy Food Allergy (Appendix 1 – food allergy) (Appendix 2 – anaphylaxis) (Appendix 3 – FPIES) Gastroenterology Celiac Disease (references) Updated April 2017 Eosinophilic (Allergic) Proctocolitis (references) Updated April 2017 Non-alcoholic Fatty Liver Disease (patient/family handout) (clinician handout) Genetics, Urology, Psychiatry, Psychology and Endocrinology (GUPPE) Disorders of Sexual Development (references) Hematology Anemia (references) Nephrology Hypertension (references) (handout) Updated October 2018 Acute Post-Infectious Glomerulonephritis (APIGN) (references) (patient/family handout) (PCP handout) Updated May 2017 Nephrology/Urology Urinary Tract Dilation (references) Updated April 2017 Neurology Migraine and Other Headache Disorders (patient/family handout) (headache diary) Neurosurgery Macrocephaly (references) Plagiocephaly (references) Orthopaedics Idiopathic Scoliosis (references) Updated May 2017 Knee Pain with Swelling Updated June 2017 Pulmonary Chronic Cough (references) Updated April 2017 Stable Asthma (patient/family handout 1) (patient/family handout 2) Sedation Services Sedation (referral form) Updated March 2019 Sports Medicine Adolescent Shoulder Instability (references) Updated April 2017 Surgery Inguinal Hernia (references) Updated March 2017 These guidelines are intended solely for the use of healthcare professionals who are licensed to practice medicine. This material is not intended to replace professional medical judgment, prescribing information or consultation with a medical professional. Any health care provider using this material acknowledges full responsibility for the medical care and treatment of patients. All health care providers are solely responsible for confirming the accuracy, timeliness, completeness, appropriateness and helpfulness of this material and making all medical, diagnostic or prescription decisions. For questions about the guidelines, contact Michele Krivickas, 860.837.6746.