Developmental Pediatrics

FAX FORM TO: 309.681.6965 PHONE: 309.681.6960

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be faxed include:

Follow-up to the referring physician office includes a phone call, letter at the time appointment is scheduled, and report mailed following the evaluation.

Other instructions: Please be specific about reason for referral. Specify what areas of delay you are concerned about. Please indicate if autism is a question, and we will assist you with the referral process.

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