How do I make a referral for a Developmental Pediatric Evaluation?

At the date of the referral, child must be 12 months to 4 years 11 months of age.

  1. The doctor is asked to fax patient documentation: pertinent medical records, demographic information, and specific questions to be answered. Please include clinical presentation.
  2. Follow-up with Pediatric Development RN Care Coordinators at 503-413-2600 for additional questions.

Refer to Randall Children's Hospital Specialty Care 


Download Referral Form

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