Anesthesia - For Referring Physicians

Anesthesia - For Referring Physicians

Learn how to refer patients to the Pediatric Anesthesia program at Penn State Children’s Hospital.


Call the Pain Management Center at


Refer a patient for pediatric pain management services

Our Pediatric Anesthesia program is dedicated to helping children manage pain and enjoy life once again. We work with referring physicians to offer excellent patient care to the young residents of central Pennsylvania.

All patients must be referred by a physician

  • The referring physician should fill out the Physician Referral Form and send it to the clinic along with any related medical records. 
  • Our team reviews the completed form and the provided medical information. Then we decide if the patient will benefit from our services. 
  • If so, the patient will be contacted by our staff to set up an appointment. 
  • If we feel we have nothing to offer, we’ll contact the referring physician.

Contact information

Pediatric Pain Management Services, Director
Penn State Health Milton S. Hershey Medical Center
P.O. Box 580, HU28
Hershey, PA  17033

The Physician Referral Form and pertinent medical records may also be faxed to: 717-531-4143.