For administration of a once-a-month injection given to your baby to protect him or her during RSV season. (RSV Season is generally November 1 to March 31) This shot is not part of the normal immunizations, but is an antibody against RSV.
General Criteria Requirements
Chronic Lung Disease
Premature Births (<35 weeks & 0 days)
Congenital Heart Diseases
Severe combined or advanced acquired immunodeficiency <24 months of age
Congenital Abnormalities of the Airway (<12 mos. of age)
Neuromuscular Disorders (<12 mos. of age)
Approved criteria requirements must meet medical necessity
Gestational birth age and present age are crucial for criteria selection
Dosages are administered once monthly up to 5 doses with exceptions during the RSV season
Referral Process
Referrals are processed promptly with confirmation notification sent to referring practitioner & primary care physician.
Patient’s insurance benefits and prior authorizations are obtained by clinic coordinator, reviewed and scheduled with parent before administering injections.
Clinic contact number is 937-641-5618 or fax at 937-641-3229
Please fill out referral form and send in for processing as directed.
Locations
Clinics are offered conveniently at the hospital or as approved through Children’s Home Care of Dayton.
Related Services
CME online
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One Children's Plaza
Dayton, Ohio 45404-1815
937-641-3000