To ensure your request can be processed, we kindly ask you to provide a consultation request from your child’s pediatrician. Without this request, we will not be able to proceed with your application.
If your request is accepted, we will ask you to complete medical questionnaires and to provide the following documents via secure upload or by email (if available):
Health record booklet (birth data, weight, Apgar score, etc.)
Reports from previous assessments (speech therapy, psychological/neuropsychological evaluations, reports from other professionals, etc.)
School reports and report cards
Any relevant medical documents
Please complete this form for any pediatric neurology consultation request.