ADHD or ADD (Attention Deficit Hyperactivity Disorder); General Developmental Delay

Diagnosis
ADHD or ADD (Attention deficit hyperactivity disorder); General developmental delay
Department
Child Development and Rehabilitation Center

1. Start the referral process:

Use your own referral form or notes* or download our form:

CDRC new patient referral form

2. Gather records:

  • PCP Referral
  • Chart notes
  • Parent and Teacher questionaires
  • Daycare notes
  • IEP
  • Any other development evals 
  • Any previous neuropsych testing 

3. Fax the referral and all records to 503-346-6854.

* Referral notes or forms should include:

  • Patient name, date of birth, sex, address and phone number
  • Referring provider’s name, address and phone number
  • Diagnosis or reason for referral
  • Department patient is being referred to
  • Most recent chart notes supporting the diagnosis or reason for referral

For help or to arrange provider-to-provider advice, call 503-494-4567.

Date Revised May 01, 2024