Healthcare Professionals: How to Refer to CHOP

CHOP's International Patient Services Program has expertise in handling referrals and transferring cases from physicians around the world. To refer a patient, you can:

  • Fill out the Referral Form below with as much information as possible.
  • Call us at 001-267-426-6298 (Business hours are from 8:30 a.m. – 5 p.m. North American Eastern Standard Time)
  • In all cases, a bi-lingual representative from the IPS program will contact you within 24 hours to discuss your patient.

This form is not to be used in the case of an emergency. If this is a medical emergency, please call 911 or your local emergency access provider.

Patient Information

(mm/dd/yyyy)

Referrer Information

Appointment Information

Contact Us

Reach an International Care Coordinator at:

001-267-426-6298

International Patient Services is a program within the International Medicine department at The Children's Hospital of Philadelphia.