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making an appointment

making an appointment with the developmental pediatrics program

The first step in making an appointment with one of our clinics is for your child’s primary care physician to make a referral. After we receive this referral, our team will send you a questionnaire form so that we can better understand your child’s needs. You can return this form by mail or fax or complete it online.

Once we have all the information we need, we will ask our scheduling department to call you to set up an appointment. We work hard to schedule your child’s first appointment as quickly as possible. In many cases we can see your child within a week of receiving your completed questionnaire form.

Our team is always available to provide information and answer your questions. Just give us a call at 937-641-4073.


before your appointment

After you have received contact from our office indicating that your referral has been accepted, please fill out this form to help us better understand your concerns. We know it is long, please try to fill it out with as much detail as possible. Thank you in advance for your time.

please fill out this form

contact us refer a patient

For more information about the developmental pediatrics program at Dayton Children’s, please call 937-641-4073. Appointments are available with a physician referral.

Does your patient need to see a developmental pediatrician? Begin the referral process today.   

make a referral