Children's Clinical Telehealth
Our pediatric telehealth program encompasses a dedicated, multidisciplinary team of physicians, nurses, researchers, technology experts and administrators working together to provide high-quality care.
We're proud to connect rural physicians and their patients to renowned pediatric specialists at UC Davis Health. We look forward to serving you.
|Behavior & Development*||Gastroenterology||Neuromuscular Disease Medicine|
|Cardiology (Inpatient)*||General Pediatrics*||Otolaryngology|
|Cardiology (Outpatient)||Genomic Medicine*||Psychiatry*|
|Cleft and Craniofacial||Hematology/Oncology||Psychology - Medical Health and Behavior|
|Critical Care*||Infectious Disease||Psychology - Mental Health and Evaluations|
|Dermatology - Store and Forward||Neonatology*||Pulmonary|
Complete a Telehealth Referral Request Form and fax it to (866) 622-5944 along with any documentation outlined in the referral guidelines. For specialties not listed, please provide as much documentation as possible to assist us in securing a one-time consultation, though this is not always possible depending on departmental staffing and resources.
A telehealth coordinator will call you to schedule your appointment, and/or request additional information, if necessary. We will also provide you with instructions on how to connect for your consultation. We ask that all sites test the connection prior to the appointment date to ensure good audio/visual quality and review the use of any external telehealth peripherals that might be needed during the consultation.
Please remember to confirm the appointment with your patient two business days prior to the date of the consultation.
On the day of the appointment, please provide your patient with a copy of our Notice of Privacy Practices and fax a signed copy of our Acknowledgement of Receipt form to (866) 622-5944 prior to beginning the consult. Document your patient's verbal consent to participating in a telehealth consultation in your patient's chart/electronic record.
- Do's and Don'ts for a Remote Site (PDF)
- ENT Questionnaire (PDF)
- Genomic Medicine Flyer (PDF)
- Genomic Medicine Questionnaire (PDF)
- Notice of Privacy Practices - English (PDF)
- Notice of Privacy Practices - Spanish (PDF)
- Notice of Privacy Practices: Acknowledgement of Receipt - English (PDF)
- Notice of Privacy Practices: Acknowledgement of Receipt - Spanish (PDF)
- Patient Satisfaction Survey (PDF)
- Provider Satisfaction Survey (PDF)
- Telehealth Referral Request Form (Microsoft Word)