Refer a potential patient

Walk into a Shriners Hospitals for Children® and the first thing you notice is that it does not feel like a hospital at all. In our hospitals you will find colorful spaces, smiling children and people who are passionate about caring for kids. Everything we do here is designed to make children and their families feel at home, while delivering life-changing medical care.

Request an Appointment: Shriners Hospitals for Children provides a variety of specialty services. To request an appointment for a specific specialty, please fill out the form below, and a member of Zorah Shrine will be in contact with you. All information is kept strictly confidential. Some insurers may require referrals, or have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need. A representative will contact you within two business days.

Physician Referrals: Shriners Hospitals for Children is committed to providing the best care for children in our specialty areas of Orthopaedics, Burns, Spinal Cord Injury and Cleft Lip and Palate. Physicians and other healthcare professionals can call their nearest Shriners Hospitals for Children listed below for questions regarding the services we provide and to speak to one of our physicians.

Application for Treatment