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To request an evaluation, please click on "Request an Appointment" in the menu to the right or contact us by phone at 617-355-7025.

NEW- Patient Intake Forms now available online!

We require all new families to fill out Patient Intake Forms in order to be added on to our waiting list. We have now made this process a little bit easier by allowing you to print out the form below. Please return completed paperwork via mail, email or fax to:

Mail: The Division of Developmental Medicine
         300 Longwood Ave.
         Boston, MA 02115
         Attn: Intake Coordinators


Fax: 617-730-0252 Attn: Intake Coordinators

Below you will find intake packages specialized by age, please click on the correct form for your child:
***Please see below regarding our current wait times:

Age: 27 months or younger

Age: 28 months – 6 years

Age: 7-16 years old


If it has been longer than two weeks since you submitted your intake forms/questionnaires and you have not received notification that we have received them, please call (617) 355-4683 and let us know.

For directions and additional information about our satellite locations, please click here


The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944