Refer A Patient

Submit the referral with the following records:

• Patients Age 0-3 years

  • Current patient/family demographics

  • Medical records including all MRIs, EEGs, and labs

  • Therapy evaluations/reports, including ECI

  • Completed developmental and Autism Spectrum Disorder screeners (ASQ-3, MCHAT, etc.)

• Patients Age 4+ years

  • Current patient/family demographics

  • Medical records including all MRIs, EEGs, and labs

  • Therapy evaluations/reports

  • Current school records:

    • Full Individual Evaluation (FIE)

    • Admission, Review, Dismissal (ARD -- including IEP)