Referring Physicians - Hematology/Oncology

Thank you for your referral. Please download the OU Children's Physicians Referral Form and the Hematology/Oncology Referral Form, fill them out and fax them to (405) 271-3265. 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
• Lab values, Imaging studies, Pathology reports pertaining to this referral

Please print out the patient welcome letter and map and give them to your patient before they depart your office:

• Welcome Letter and Instructions
• Map and Directions