SERVING CHILDREN WITH
SPECIAL NEEDS & THEIR FAMILIES
Since 1950
physician referral

leapfile instructions

New Patient Information:

  • Click on developmental history form (medical)
    • Download developmental history form (Requires Adobe - click here to obtain Adobe for free)
    • Completed all information and save it on your computer using the following format.
    • For the developmental history form: LASTFDOBHX (Example: SmithJ09041980HX)
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with HX at the end
    • For supporting documents: LASTFDOBMR (Example: SmithJ09041980MR)
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with MR at the end
    • For office policy: LASTFDOBPOL (example: SmithJ09041980POL)
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with POL at the end
  • Click on the link for http://siskin.leapfile.net
  • Click on "Secure Upload" (Figure 1)
  • In recipient email enter devpedspt@siskin.org  press start (Figure 2)
  • Enter your name, email address, and confirm your email
  • Enter subject/message including a list of documents that are being attached (Figure 3)
  • Check "Notify me when the files have been downloaded"
  • Click Select files to send (Regular Upload)
  • Browse your computer for the files named above
  • Click "Upload & Send"

Forms:

  • Click on submit send documents to us link
  • Save files on your computer using the following naming methods:
    • For an IEP: LASTFDOBIEP
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with IEP at the end
    • For lab/imaging reports: LASTFDOBLAB
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with LAB at the end
    • For prior medical records: LASTFDOBMR
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with MR at the end
    • For prior testing: LASTFDOBTEST
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with TEST at the end
    • For Vanderbilt parent form: LASTFDOBVanPT
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with VanPT at the end
    • For Vanderbilt teacher form: LASTFDOBVanTeach
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with VanPT at the end
    • For other documents: LASTFDOBOTHER
      • Enter last name, initial of first name, and date of birth in 2 digit month, 2 digit day, and 4 digit year format with OTHER at the end
  • Click on link for http://siskin.leapfile.net
  • Click on "Secure Upload" (Figure 1)
  • In recipient email enter devpedsforms@siskin.org press start (Figure 2)
  • Enter your name, email address, and confirm your email
  • Enter subject/message including a list of documents that are being attached (Figure 3)
  • Click Select files to send (Regular Upload)
  • Browse your computer for the files named above
  • Click "Upload & Send"
Figure 1
Figure 2
Figure 3