Referring Physicians - Otorhinolaryngology

Thank you for your referral. Please download the OU Children's Physicians Referral Form, fill it out and fax it in to (405) 271-2655. A Patient Service Representative will schedule an appointment and notify your office of the time and date within 72 hours. In order to process the appointment, please include the following information.

• Legible copy of Insurance card(s) (front and back)
• Office note pertaining to this referral
• If required, copy of referral or authorization
• Sleep Studies, CT scans or MRI, RAST 7 blood draw and Dysphagiagram (Swallow Studies)

Please print out the the following documents and give them to your patient before they depart your office:

• Welcome Letter and Instructions
• OU Children's Physicians Otorhinolaryngology Clinic Patient History Form
• Map and Directions