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:

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