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Refer a Patient to Respiratory Care

New Patient Appointments

Step 1
Complete Form

Step 2
Submit Form

Step 3
Review and Schedule

Complete the Respiratory Outpatient Clinic Order Form

Respiratory Outpatient Clinic requests please fax to (913) 264-9929.

Patients should be directed to either Children’s Mercy Hospital Kansas for our walk-in clinic (available 24 hours a day); or to one of our three Urgent Care locations - available by appointment only (schedule at


ROC Exclusion Criteria:

  • Patients less than 8 weeks of age or greater than 24 months
  • Pulmonary exclusions- patients with history of
    • Chronic aspiration
    • Cystic Fibrosis
    • Airway exclusions-patients with any STRUCTURAL, SURGICAL, OR NEUROMUSCULAR airway irregularity (i.e. cleft palate, choanal atresia, laryngomalacia, hypotonia etc.)
    • Cardiac exclusions-patients with history of cyanotic heart disease
    • Other exclusions-patients with home medical device use (I.e. NG tube, G-tube, apnea monitor, home O2, etc.)

Learn more about Respiratory Care services available at Children’s Mercy Kansas City.