During an Outpatient Visit

Therapy, physician visits, psychology services, and subspecialty services are all part of the wide range of outpatient services available at our hospital’s thirteen sites. Here, we aim to provide you with the best tools to help you and your child prepare for your outpatient visit.

Before Your Visit:

1. Request an appointment quickly and easily online
2. Fill out the My Medication List and keep it in your wallet or purse. Share it with your doctors, pharmacist, and other healthcare professionals at ALL visits.
3. Bring your insurance card, referral (if required by insurance), prescription(s) and any related information.
4. If you are scheduled for services with a physician or nurse practitioner please provide a list of all medications and dosages (including over the counter medications) your child is currently receiving to help us service you better.
5. Read the list of Frequently Asked Questions for your child’s visit. These include important information for you to know before you come.
6. Complete the below assessments and forms prior to your visit - they should be completed and emailed back to us within 2 business days before your appointment.

Assessments and Forms:

For all New Patient Neurology and/or Neurodevelopmental Evaluations, please complete the below forms based on your child's age and email them to: scriptreferral@childrens-specialized.org.

• Child is 30 months or younger:
  • Patient Questionnaire
  • Patient Questionnaire - Spanish
  • M-CHAT-R/F - English
  • M-CHAT-R/F - Spanish
• Child is older than 30 months:
  • Patient Questionnaire
  • Patient Questionnaire - Spanish
  • NICHQ Vanderbilt Assessment Scale - English
  • NICHQ Vanderbilt Assessment Scale - Spanish

For all New Patient Psychiatry Evaluations, please complete the below forms and email them to: scriptreferral@childrens-specialized.org.

• Patient Questionnaire
• Patient Questionnaire - Spanish
• NICHQ Vanderbilt Assessment Scale - English
• NICHQ Vanderbilt Assessment Scale - Spanish
• Screen for Child Anxiety Related Disorders (SCARED)

For all New Patient Physiatry Evaluations, please complete the below form and email it to: scriptreferral@childrens-specialized.org.

• Physiatry Intake Form
• Physiatry Intake Form - Spanish

For all Occupational Therapy, Physical Therapy, and/or Speech Therapy Evaluations, please email a copy of your prescription 4 business days before your appointment to scriptreferral@childrens-specialized.org in order to keep your scheduled appointment.

Tour Our Sites

Click here to get get directions, contact information, and a first hand look at our sites, before you come.

Patient and Family Satisfaction

Your feedback is very important to us. During your rehabilitation visit, we hope to provide excellent care and customer service. We partner with Press Ganey, a survey company, to measure satisfaction. You may receive this survey in the mail. We hope you will discuss any concerns with any member of our team, and return the survey when you receive it.