Referring Providers Information
Providers interested in referring patients for a neurodevelopmental evaluation are encouraged to fax an EPSDT form to our office (205-638-2526) for patients with Medicaid or complete this referral form.
The patient’s position on the waitlist is based on when we receive the appointment request form from the family. We will reach out to the family to get this form completed, but if they do not complete the form within 30 days, the referral will be rejected.
Please know that our waitlist is currently 9-12 months from the time we receive the appointment request form. While families are waiting for evaluations, please refer for intervention services (e.g., Early Intervention, School-based Services, Outpatient Therapy).
NOTE: We are not currently able to provide ongoing care consultation for patients due to the high demand for evaluations. For patients with an existing autism diagnosis, we recommend reaching out to the Regional Autism Networks or the Alabama Department of Mental Health Autism Care Coordination (Medicaid eligible patients only).