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Randall Children's Co-Management and Referral Guidelines

Randall Children’s Hospital is dedicated to working collaboratively with community providers to establish practices and protocols that will allow us to consistently deliver the highest quality of care possible to our pediatric patients. The Co-Management and Referral Guidelines on this page have been developed by a team of Randall Children’s sub-specialists with input and guidance from the local pediatric community. These tools are designed to address the evaluation and management of a variety of conditions commonly seen in our shared patients, with the goal of supporting community providers in the delivery of high-quality care in the pediatric or primary care setting. These materials also outline when, how and under what conditions community providers should consider making a referral to Randall Children’s Hospital or our specialty clinics. 

We continue to add new guidelines to the roster below. Please look for *NEW in front of the titles below to see our most recent additions. 

Cancer and Blood Disorders

Evaluating the Child with a Family History of a Clotting Disorder (Excessive Clotting)

Evaluating the Child with a History of Excessive Bleeding or a Family History of a Bleeding Disorder

Evaluation and Treatment of Iron Deficiency Anemia (IDA)
Evaluation and Treatment of Iron Deficiency Anemia (IDA) – Algorithm

*NEW - Initial Management of Abnormal Newborn Hemoglobinopathy Screening


Chest Pain in the Pediatric Population

Diabetes and Endocrine

*NEW - Evaluation of Abnormal TSH/Subclinical Hypothyroidism in Children
*NEW - Evaluation of Abnormal TSH/Subclinical Hypothyroidism in Children - Algorithm

*NEW - Gender Dysphoria or Gender Variant Behavior in Children and Adolescents

Precocious Puberty

Screening for Type 2 Diabetes in Overweight/Obese Children
Screening for Type 2 Diabetes in Overweight/Obese Children – Algorithm


Initial Evaluation for Celiac Disease in Children

*NEW - Management of Constipation

General Surgery

Management of Perianal Abscess in Infancy

Infectious Diseases

Community Acquired Pneumonia (CAP)


Evaluation of Hypertension in Children


*NEWInitial Evaluation and Management of Headache
*NEWInitial Evaluation and Management of Headache -- Medication Sheet

Initial Management of Febrile Convulsions

Newborn Services

*NEWJaundice in Babies ≥ 35 Weeks Gestational Age

*NEWNormal Newborn Screening and Routine Interventions in the First Two Weeks of Life


Evaluation and Management of Intoeing

*NEWInitial Evaluation of Congenital Hip Dysplasia

Initial Management of Ankle Sprains


Early Diagnosis of Asthma/Early Childhood Wheeze

Poorly Controlled Asthma

Legacy One Call Consult & Transfer

For urgent referrals, admissions or to consult with on-call pediatric specialists 24/7, call:

Questions or feedback?

For more information about these guidelines, please contact PediNet at 

These guidelines are intended solely for the use of health care professionals who are licensed to practice medicine. This material is not intended to replace professional medical judgment, prescribing information or consultation with a medical professional. Any health care provider using this material acknowledges full responsibility for the medical care and treatment of patients. All health care providers are solely responsible for confirming the accuracy, timeliness, completeness, appropriateness and helpfulness of this material and making all medical, diagnostic or prescription decisions.