Refer a Patient to the ChILD Center

If you are a provider and would like to refer a patient to The Children’s Hospital of Philadelphia for a ChILD Center evaluation, please email Samuel B. Goldfarb, MD or Katie Oshrine, RN, CRNP.

Please have the following information available in order to expedite your request:

  • Patient's name
  • Patient's date of birth
  • Patient’s home address
  • (house or apartment number, street, city, state and zip code)
  • Patient’s health insurance carrier and contact information
  • Insurance individual ID number
  • Health insurance group and plan ID
  • Medical diagnosis
  • Current provider
  • Provider telephone
  • Provider email address
  • Additional comments/information

Reviewed on April 05, 2014