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Women & Infants Referral

Please click on the type of patient referral you need to download a printable form. Each form should be faxed to the corresponding department fax number.

To expedite the referral process, please send demographics, insurance, all prenatal records/lab results and the appropriate signed order form for each. Also, please note that insurance companies require the ordering physician’s office to request procedure authorizations.

Fetal Care Center
Fax 314-362-1860

- for comprehensively supportive care for any patient with suspected or confirmed fetal diagnosis

Maternal Fetal Medicine/ Ob Ultrasound
Fax 314-747-1637

- for traditional care for privately insured patients with maternal indication

High-Risk OB Clinic, Teen Pregnancy Center or the Center for Diabetic Pregnancy
Fax 314-747-1637

- for comprehensively supportive, safety net care for publicly insured and uninsured patients with maternal indication

Washington University Genetic Counseling
Fax 314-747-1637

- for pregnancies with advanced maternal age or abnormal maternal serum screening

St. Louis Children’s Hospital Fetal Heart Center
Fax 314-454-2561

- for family or sibling history of heart defect, maternal diabetes

For emergent maternal transport with our Maternal Fetal Transport Team, or an urgent telephone consult with a Maternal Fetal Medicine specialist, please call 800-678-HELP (6357).

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General Information: 314.747.3000
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St. Louis, MO 63110
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