Connecticut Children’s Medical Center’s main campus is located at 282 Washington Street in Hartford, Connecticut.

Refer a Patient

One Call Physician Access Line: 1-833-PEDS-NOW (1-833-733-7669)

We will respond within two business days by email that we have received your online referral request.

Your information, as well as your patients, is considered highly confidential. It will be transmitted via a secure line and maintained with the necessary safeguards to ensure its security.

Refer a Patient

Patient Information

Patients name
Patients name
Patients date of birth
Address
Address
City
State/Province
Zip/Postal
Patients insurance carrier
Patients insurance member identification number
Patient insurance subscriber name
Needs interpreter?

Referring Provider

The name of the referring provider
Referring providers phone number
MD visit only?

Appointment Details

Maximum upload size: 10MB
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