Coronavirus Disease 2019 (COVID-19) is associated with hypercoagulability and adult guidelines have been published regarding the evaluation and anticoagulation of adults infected with COVID-19. Pediatric resources on this topic are lacking. We developed preliminary recommendations for the thrombotic evaluation and anticoagulation treatment for children hospitalized with COVID-19 by reviewing the available literature and guidelines and adapting the information for the pediatric population through a multidisciplinary consensus driven approach.