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MAKE A Referral
A referral to our center is easier than ever! 


Click here to download the SCDP referral form. 

Children are referred to our center by their primary care physician or another subspecialist. Our referral process is designed to ensure that we receive all necessary information to provide an effective assessment. This form should be completed in its entirety, and then can be saved and uploaded to our HIPAA secure site OR Faxed to 423-490-7750. For complete instructions on saving and uploading this form, click here

Referral criteria:

Diagnoses:  Autism Spectrum Disorders, Developmental Delay (including developmental concerns associated with prematurity and genetic disorders), and Attention Deficit Hyperactivity Disorder. We believe that our strongest area of impact is for children with the above suspected or confirmed diagnoses, and these are the areas where the medical team will focus their time.

Learning and Cognitive Issues: We believe that children with learning and cognitive issues are best served with psychometric testing and recommendations based on that testing. Therefore these diagnoses will be served solely through our psychology services which are covered on a cash basis.

Challenging behavior (not associated with a diagnosis listed above): We believe that challenging behavior is initially best managed through behavior management training for the family. The Parent Empowerment Series is available to address this and listed below. 

Age: Developmental Pediatrics- Children ages 0-5 years

Early intervention is vital to maximizing a child’s potential; therefore we will focus on this age group to maximize the impact of our resources.

Learn more about Medical Services.

Occupational, Physical, & Speech Therapy

Click here to download the SCDP referral form. 

Therapy (OT, PT, Speech):  We accept therapy patients who are either through the medical referral process listed above or directly from their primary care physician. 

Age requirements: Children 18months-12 years

Learn more about OT, PT, & Speech Therapy Services.

 Psychometric Testing

Click here to download the SCDP referral form. 

Utilizing the most current assessment techniques and assessment instruments, our psychometric evaluations assess a broad range of skills, including verbal and nonverbal cognitive functioning (IQ), academic performance skills, visual-motor integration skills, adaptive behavior, autism spectrum characteristics, developmental milestones, attention-deficit concerns, and more.

Psychometric evaluation referrals from within the Siskin Center for Developmental Pediatrics assist our medical providers in the comprehensive diagnostic workup of children with a range of medical concerns (e.g., Autism Spectrum Disorders, Specific Learning Disabilities, Intellectual Impairments, Developmental Delays, ADHD, and more).

Age requirements: Children 5-18 years

Learn more about these services psychometric testing.
Click here to view our flyer for physicians

Developmental Family Therapy Center

Start a Referral Now

Center for Developmental Pediatrics has recently expanded services and developed an innovative family therapy internship and residency program designed to meet the unique therapeutic needs of families with special needs in our community.  

Our new program helps to address a range of concerns commonly experienced by many children and families with special needs such as Developmental Concerns, Autism Spectrum Diagnosis, Peer Struggles, General Social Skill Difficulties, Generalized Anxiety, Social Anxiety, Panic Attacks, Separation Anxiety, Parenting Techniques, Obsessive-compulsive Behavior, Learning Challenges, Low Self-esteem, Executive Functioning Difficulties, ADHD, and More

Appointments can be made by Self-Referral or families can be referred from a Siskin Provider, a Primary Care Physician, a Local Therapy Provider, or their child’s Local School System. 

Age Requirements: Behavior Management Training children 2-12 years; Developmental Family Therapy families with children 0-10 years; Social Skills Group Training children 7-10 years 

For information on the following services, please click the links below. 

Individualized and Family Therapy Services *
Group Intervention Services*
Parent Empowerment Series*
* Allow self referrals from parents or guardian 

Learn more about the Developmental Family Therapy Center.


We're happy to answer any questions you might have about the referral process or our Center. Call us at 423.490.7710 to speak with a representative today.