CINXE.COM

Refer an International Patient | Children's Hospital of Philadelphia

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field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item"><div class="contact-us-offcanvas hide-for-print"> <h6>Contact Us</h6> <h3>Call a Global Care Coordinator</h3> <a href="tel:001-267-426-6298">001-267-426-6298</a> <hr /> <ul class="list-no-bullets"> <li><a href="/contact-global-patient-services">Appointments &amp; Questions</a></li> <li><a href="/refer-a-patient ">Refer a Patient</a></li> </ul> </div> </div> </div> </div> </section> </div> </div> </section> </div> </div> <div class="row"> </div> <div class="small-12 hero chop-gps-hero-pattern hide-for-print"></div> <div class="row grid-x"> <div class="small-12 cell staple-bg-1"> <div class="grid-x grid-padding-x"> <main id="main" class="columns small-12 large-8 cell l-66-33__1"> <div class="region-highlighted panel"><div data-drupal-messages-fallback class="hidden"></div></div> <a id="main-content"></a> <section> <div> <section id="block-chop-gps-page-title" class="block-chop-gps-page-title block block-core block-page-title-block"> <h1> <h1 class="field-wrapper">Refer an International Patient</h1> <!-- START SOCIAL MEDIA NAV TOP --> <section aria-label="Sharing toolbar" class="hide-for-print social-nav social-nav__1" role="contentinfo"> <ul> <li><a href="https://www.facebook.com/sharer/sharer.php?u=http%3A%2F%2Fwww.chop.edu&amp;t=" onclick="window.open('https://www.facebook.com/sharer/sharer.php?u=' + encodeURIComponent(document.URL) + '&amp;t=' + encodeURIComponent(document.URL)); return false;" target="_blank" title="Share on Facebook"><svg class="social-icon"> <use xlink:href="#facebook-circle"></use></svg></a></li> <li><a href="https://twitter.com/intent/tweet?source=http%3A%2F%2Fwww.chop.edu&amp;text=:%20http%3A%2F%2Fwww.chop.edu&amp;via=ChildrensPhila" onclick="window.open('https://twitter.com/intent/tweet?text=' + encodeURIComponent(document.title) + ':%20' + encodeURIComponent(document.URL)); return false;" target="_blank" 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class="field-wrapper field field-node--field-text-body field-name-field-text-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item"><p>Use this form to refer an international patient to Children's Hospital of Philadelphia (CHOP).</p> <p>If you are looking to refer a patient who resides within the United States, use our <a href="https://www.chop.edu/centers-programs/healthcare-professionals/national-patient-services-referrals">National Patient Services form</a>.聽</p> <!-- forms.chop.edu script begins here --><script type="text/javascript" defer="defer" src="https://forms.chop.edu/embed/6646587.js" data-role="form" data-default-width="800px" data-custom-vars="hasEmbedFormStyle=1&amp;hasTransparentBg=1"></script><!-- forms.chop.edu script ends here --></div> </div> </div> </div> </article> </section> </div> </section> <div id="content_lower" class=""> <div> <section id="block-contactboxbottom" class="settings-tray-editable 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