Refer a Patient to the Down Syndrome Clinic

Step 1

Complete Form

Step 2

Review and Schedule

Complete the New Patient Appointment Form.

Please submit Chromosomal testing results with this form. These results are integral to getting your patient scheduled.

For best results, please use Google Chrome

Children’s Mercy will call the patient within 2 business days to schedule an appointment.

Scheduled and requested appointment status can be found on the Wednesday referral reports.