Make a Referral

Please complete the patient referral form (pdf) and authorization for release of records (pdf), and fax them to our office at 314-454-2523, or scan and email to us at NFClinic@neuro.wustl.edu.

We also require that patient records, relevant radiologic studies, and consultation reports be sent to us by fax or to the following mailing address prior to the appointment:

NF Clinical Program
Washington University School of Medicine
660 South Euclid Ave., Campus Box 8111
St. Louis, MO  63110-1093

Call the NF Clinical Program office:
Phone: 314-454-6120
Monday – Friday, 9 am to 5 pm (CST)

Emergency After Office Hours:
Phone: 314-454-6000
ask for the Pediatric Neurologist on-call

Fax: 314-454-2523
Email: NFClinic@neuro.wustl.edu

Out-of-town patients

Patients in the continental United States can be directed to the St. Louis Children’s Hospital Family & Guest Services for assistance with lodging. For questions on directions or visitor information, patients should visit the St. Louis Children’s Hospital Online Visitors’ Guide or contact Guest Services at 314-454-2615.

International referrals

Physicians from outside the United States may refer patients by faxing a completed patient referral form (pdf) to 1-314-454-2523. We will contact you for further medical information and records. English is preferred, but you may email in your own language.

We are always interested in extending treatment to overseas patients. We ask patients to coordinate their requests for second opinions or treatment through their personal physician or sponsoring organization. Before any expense is incurred, a thorough review of records is necessary to determine if we can help the patient.