Children’s Healthcare of Atlanta

Physician Resource Guide 2021

Your guide to Children’s Healthcare of Atlanta programs and services as well as Children’s Group practices and .

Issued 6/1/2021

Table of contents Resources family resources...... 1-3 • 404-785-KIDS (5437) • MYchart • Choa.org • Mobile app • Location map (Emergency Departments, Urgent Care Centers, radiology and lab) Physician resources...... 4-5 • accessCHOA • 404-785-DOCS (3627) • Transfer Center • Virtual visits • Physician Portal • The Children’s Care Network • Physician outreach Children’s Physician Group...... 6-7 • About us • Physician-to-physician service • Four ways to refer a patient Contact information Clinical service areas...... 9-44 Forms and tools Forms...... 45-68 • Children’s Physician Group: - Provider referral form - Orthopaedics and sports patient referral form - Rheumatology guidelines and referral form - Synagis enrollment form • Cardiac: - Pulmonary Hypertension Clinic referral form - Sibley Center referral form • Child advocacy: Stephanie V. Blank Center for Safe and Healthy Children request for services form • Concussion: Downtime mild traumatic brain injury and concussion assessment criteria tool • Laboratory: Outpatient requisition form • : EEG order form • Radiology: - Advanced pediatric imaging form - Interventional radiology form - Pediatric imaging form • Rehabilitation: Rehabilitation services order form • Sleep: Sleep disorders lab order form • Sports medicine: Order form Table of contents Tools...... 69-90 • Our locations and services • Center for Advanced visitor information • Judson L. Hawk Jr., MD, Clinic for Children • accessCHOA: Getting started • Referring to a Children’s Emergency Department • Pediatric endocrinology and obesity: A physician’s quick guide • Primary care guideline for new-onset seizure • Radiology CPT codes • Sports medicine physician vs. sports physical therapist Resources Resources

Patient family resources

404-785-KIDS (5437) Choa.org This number is the primary point of contact for patient families. Patient families can use the Children’s website to: This phone number, staffed by a team of experienced • Learn more about our medical services and physicians on Children’s Healthcare of Atlanta representatives, is open our medical staff. 24 hours a day, seven days a week. Patient families can use • Find information, including hours and directions to specific 404-785-KIDS (5437) to: locations. • Access Children’s services. • Prepare for visits and overnight stays. • Schedule and change appointments. • Request copies of medical records. • Reach a physician or department at Children’s. • Contact our team with questions about billing and insurance.

MYchart Mobile app MYchart gives you, your patients and their legal guardians Text the word KIDS to 770-766-3111 to receive a link to the access to a portion of their Epic medical record. It also enables free Children’s mobile app directly on your phone. You can also you and your patients to communicate through a secure online visit the App Store or Google Play to download the Children’s portal or mobile device. With MYchart, your patient families app for your smartphone or tablet. can be more informed, which can lead to improved satisfaction and outcomes. Patient families can: With the Children’s app, patient families can: • View immunization records. • Find a or neighborhood location. • View lab and other test results and get notifications when • Locate a department, patient room or amenity within most results are received. the hospital. • Request prescription refills. • Look up Children’s physicians who see patients at one of our facilities. • Communicate with you by sending and receiving secure messages. • Find our nearest Emergency Department and see wait times. • Find our nearest Urgent Care Center, see wait times and Patient families should visit mychart.choa.org to save your spot in line. activate a MYchart account. • Access your patient information through MYchart.

1 Children’s locations Children’s offers urgent care, radiology, lab and emergency services at the 5 N 6 following locations: Cherokee 1. Egleston hospital 19 Forsyth 1405 Clifton Road NE Fulton

Atlanta, GA 30322 985 575 12 85 Emergency Department, lab and 75 7 11 radiology: CT, DEXA, fluoroscopy, 9 interventional radiology, MRI, nuclear medicine, PET, sedation, 10 316 and X-ray 400 75 85 285 285 Gwinnett 2. Hughes Spalding hospital Cobb 3 35 Jesse Hill Jr. Drive SE 75 4 85 Atlanta, GA 30303 400 285 Emergency Department and radiology: W Atlanta 78 E fluoroscopy, ultrasound and X-ray 1 285 75/85 20 Atlanta 3. Scottish Rite hospital 2 Douglas 20 1001 Johnson Ferry Road NE DeKalb Atlanta, GA 30342 75/85 20 20 285 Emergency Department, lab and 285

radiology: CT, DEXA, fluoroscopy, 85 75 285 interventional radiology, MRI, nuclear Fulton Rockdale 285 675 medicine, sedation, ultrasound and X-ray

75 85 4. Children’s at Chamblee-Brookhaven Henry In the Parkview on Peachtree shopping center Clayton Newton 5080 Peachtree Blvd., Suite 100 Fayette Chamblee, GA 30341 Coweta S 8 MAP NOT DRAWN TO SCALE Urgent care

5. Children’s at Cherokee 8. Children’s at Hudson Bridge 12. Children’s at Webb Bridge In the River Pointe shopping center In the Hudson Bridge Crossing shopping center 3155 North Point Parkway 1558 Riverstone Parkway, Suite 100 1510 Hudson Bridge Road Building A, Suite 150 Canton, GA 30114 Stockbridge, GA 30281 Alpharetta, GA 30005 Urgent care Urgent care, X-ray* Lab and radiology*: CT, fluoroscopy, MRI, sedation, ultrasound and X-ray 6. Children’s at Forsyth 9. Children’s at North Point In The Collection at Forsyth 3795 Mansell Road 410 Peachtree Parkway, Suite 300 Alpharetta, GA 30022 Visit choa.org/locations for a Cumming, GA 30041 Urgent care complete listing of all locations including maps, directions, Urgent care, X-ray* 10. Children’s at Satellite Boulevard hours and services. 7. Children’s at Hamilton Creek 2660 Satellite Blvd. 404-785-KIDS (5437) In the Hamilton Mill Town Center Duluth, GA 30096 shopping center Urgent care, lab and radiology*: X-ray and *A department of Children’s at Scottish Rite hospital 2240 Hamilton Creek Parkway, Suite 600 ultrasound Dacula, GA 30019 Children’s Healthcare of Atlanta at Hughes Spalding is owned by the Fulton-DeKalb Hospital Authority and Urgent care 11. Children’s at Town Center managed by HSOC Inc., an affiliate of Children’s. 625 Big Shanty Road NW Kennesaw, GA 30144 Urgent care, lab and radiology*: CT, fluoroscopy, MRI, sedation, ultrasound and X-ray

2 Lugares de atención de Children’s Children’s ofrece servicios de atención de urgencias leves, radiología, laboratorio y 5 N 6 salas de urgencias en los siguientes lugares: Cherokee

1. Egleston hospital 19 Forsyth 1405 Clifton Road NE Fulton

985 Atlanta, GA 30322 575 12 75 85 7 Sala de urgencias, laboratorio y 11 radiología: TC, absorciometría de rayos X, 9 fluoroscopía, radiología intervencionista, 10 RM, medicina nuclear, TEP, sedación, 316 400 ecografía y rayos X 75 85 285 285 Gwinnett 2. Hughes Spalding hospital Cobb 3 35 Jesse Hill Jr. Drive SE 75 4 85 Atlanta, GA 30303 400 285 Sala de urgencias y radiología: W Atlanta 78 E fluoroscopía, ecografía y rayos X 1 285 75/85 20 Atlanta 20 2 3. Scottish Rite hospital Douglas DeKalb 1001 Johnson Ferry Road NE 75/85 20 Atlanta, GA 30342 20 285 Sala de urgencias, laboratorio y 285 radiología: TC, absorciometría de rayos X, 85 75 285 fluoroscopía, radiología intervencionista, Fulton Rockdale 285 675 RM, medicina nuclear, sedación, ecografía

75 y rayos X 85 Henry 4. Children’s at Chamblee-Brookhaven Clayton Newton En el centro comercial Parkview en Peachtree Fayette 5080 Peachtree Blvd., Suite 100 Coweta S 8 MAP NOT DRAWN TO SCALE Chamblee, GA 30341 Atención de urgencias leves 8.Children’s at Hudson Bridge 12. Children’s at Webb Bridge En el centro comercial Hudson Bridge Crossing 3155 North Point Parkway 5. Children’s at Cherokee 1510 Hudson Bridge Road Building A, Suite 150 En el centro comercial River Pointe Stockbridge, GA 30281 Alpharetta, GA 30005 1558 Riverstone Parkway, Suite 100 Atención de urgencias leves, Laboratorio y rayos X*: TC, fluoroscopía, Canton, GA 30114 y rayos X* RM, sedación, ecografía y rayos X Atención de urgencias leves 9. Children’s at North Point 6. Children’s at Forsyth 3795 Mansell Road Visite choa.org/locations para En The Collection en Forsyth Alpharetta, GA 30022 ver mapas, listados de todos los 410 Peachtree Parkway, Suite 300 Atención de urgencias leves centros de atención, indicaciones Cumming, GA 30041 para llegar, horas y ser vicios Atención de urgencias leves, 10. Children’s at Satellite Boulevard completos. y rayos X* 2660 Satellite Blvd. Duluth, GA 30096 404-785-KIDS (5437) 7. Children’s at Hamilton Creek Atención de urgencias leves, laboratorio En el centro comercial Hamilton Mill y rayos X*: rayos X y ecografía *Departamentos del Children’s at Scottish Rite hospital Town Center 2240 Hamilton Creek Parkway, Suite 600 11. Children’s at Town Center Children’s Healthcare of Atlanta at Hughes Spalding Dacula, GA 30019 es propiedad de Fulton-DeKalb Hospital Authority 625 Big Shanty Road NW y es dirigido por HSOC Inc., institución asociada a Atención de urgencias leves Kennesaw, GA 30144 Children’s. Atención de urgencias leves, laboratorio y rayos X*: TC, fluoroscopía, RM, sedación, ecografía y rayos X

3 Physician resources

As one of the largest pediatric healthcare systems in the country, Children’s offers a variety of ways for physicians to reach our staff and clinical services. Visit choa.org/md for more information about these services as well as access to our online forms. accessCHOA Transfer Center AccessCHOA is the web-based interface for the Children’s The Children’s Transfer Center can arrange for the acceptance electronic health record system. It provides customized and admission of your patient with one phone call, 24 hours a notifications about patient events, which can be forwarded to day, seven days a week. We can help: anyone in your practice. In addition, you can use it to: • Coordinate ground or air transportation for your patient. • Place an order for outpatient diagnostics and rehabilitation. • Arrange for a bed with the appropriate level of care to be • Place referrals to Children’s Physician Group specialists and ready upon arrival. specialty clinics. • Initiate registration paperwork, including financial • View notifications about key patient events, including information and pre-certification. admissions and discharges, emergency visits, and lab and Call 888-785-7778 or 404-785-7778 to reach our imaging results. Transfer Center. • Check appointment status and patient scheduling information. AccessCHOA is the primary way your practice Scheduling elective admissions: will receive patient information. To enhance patient If you need to schedule an admission to Children’s and you confidentiality, Children’s will eventually eliminate faxing do not have attending privileges, the Children’s Hospitalist patient information to your practice. Program can assist you with: • Telephone consultations. Ask your physician liaison or visit accessCHOA.org to register • Inpatient management services. and review educational resources. See the Tools section for a • Outpatient diagnostic referrals. tip sheet about accessCHOA. • Specialist referrals.

404-785-DOCS (3627) See the Tools section for our Emergency Department transfer Children’s recognizes that complex navigation is sometimes guidelines. required to access healthcare services. By using this easy-to- remember phone number, physicians can connect to anyone Telemedicine or any service within our organization. The Telemedicine Program at Children’s allows our pediatric specialists to provide care remotely to your patients through 404-785-DOCS is staffed 24 hours a day, seven days a week the use of technology when it is clinically safe and appropriate by a team of experienced Children’s representatives who will to do so. promptly answer your call, evaluate your needs, provide the services requested or route you to the appropriate area. Telemedicine, also referred to as telehealth or virtual visits, uses two-way interactive video over a secure, HIPAA-compliant Call 404-785-DOCS (3627) to: network. Telemedicine visits with Children’s can take place in • Access any Children’s service. the comfort of a patient’s home or at another private location. • Reach a patient, employee or department at Children’s. • Collaborate on patient care. Refer your patient for an in-person visit with a Children’s pediatric specialist. Our team will determine whether a • Schedule a patient appointment or ancillary test. telemedicine visit is appropriate. Patient families may also • Refer a patient to a Children’s Physician Group practice. call their provider to discuss if a telemedicine appointment is • Speak to a Children’s Physician Group provider during appropriate for their next visit. business hours through our physician-to-physician service. Note: Measures and policies implemented during the COVID-19 pandemic have reduced some barriers to telemedicine access and reimbursement. Many of these policies are temporary and could change at any time.

4 Physician Portal Physician outreach The Children’s Physician Portal offers easy access to clinical A physician liaison is your primary contact for questions, reference tools and resources for members of the Children’s concerns and issues. Physician liaisons help with: medical staff, including: • Barriers to access. • Clinical care guidelines to help you provide • In-services. high-quality care. • Order forms or materials. • System leader contacts and structure to help you engage with your leaders. To learn more visit choa.org/outreach. • Professional development and continuing medical education (CME) tools and credit opportunities. Meet our liaisons • A Children’s medical staff directory. Blair Boone, Physician Liaison Regions: Atlanta, Henry • Curated medical news, strategies and other information. [email protected] or 404-718-9426 • Wellness tools and resources to support your personal well-being. Tim Halstead, Physician Liaison Regions: Athens, Dalton, Gainesville Access the Physician Portal using your Children’s network ID [email protected] or 404-702-6991 and password at md.choa.org. If you have forgotten your ID or password, or need one, contact the Children’s Solution Center Richelle Hinson, Physician Liaison at 404-785-6767. Regions: Augusta, Dublin, Macon, Savannah [email protected] or 404-719-0279

The Children’s Care Network Cassandra Johnston, Physician Liaison (TCCN) Regions: Atlanta, Coweta, Fayette The Children’s Care Network (TCCN) is a clinically integrated [email protected] or 404-345-7483 partnership between Children’s and community physicians Amanda Lindsay, Physician Liaison designed to help facilitate better health outcomes for our Regions: Forsyth patient population. The collaborative system also offers group [email protected] or 404-702-8982 purchasing power, cost savings and technical resources. Stephanie Lunsford, Physician Liaison To find out more about our clinically integrated network, Regions: Albany, Brunswick, Columbus, Valdosta email [email protected], call 404-785-7935 or [email protected] or 404-713-6487 visit tccn-choa.org. Katie Smith, Physician Liaison Regions: Barrow, East DeKalb, Gwinnett, Walton [email protected] or 505-702-9588

Brittney Stephens, Physician Liaison Regions: Cobb, Douglas [email protected] or 404-713-5871

5 Children’s Physician Group

About us Children’s Physician Group is one of the largest multispecialty pediatric physician practices in the Southeast, with nearly 500 physicians and more than 350 advanced practice providers who are employed by Children’s Healthcare of Atlanta and/or serve as members of the pediatric faculty at the Emory School of Medicine. With convenient locations at our three and multiple neighborhood locations in Atlanta and surrounding communities, our pediatric-trained doctors and represent more than 30 pediatric specialties.

Pediatric specialties • Allergy and immunology • Hematology/oncology • • Anesthesia • Hepatology • Physiatry • Apnea • Hospitalists • Plastic and craniofacial • Cardiothoracic surgery • Infectious diseases • Pulmonology • Child advocacy • Interventional radiology • Radiology • Critical care • Neonatology • Rheumatology • Cystic fibrosis (CF) • Nephrology • Sedation services • and orthodontics • • Sleep • Emergency medicine • Neuropsychology • Transplant • Endocrinology • • Gastroenterology • Nutrition • General surgery • Orthopaedics and sports medicine • Gynecology • Otolaryngology

Multispecialty clinics Children’s Physician Group providers also participate in several multispecialty clinics, including: • 22q Deletion • Genetics • Pain Relief • Aerodigestive • Hypertension • Pelvic and Anorectal • Cerebral Palsy • Infantile Spasms • Spasticity • Cerebrovascular Disorders • Leukodystrophy • Spina Bifida • Chronic Kidney Disease • Medically Complex • Strong4Life • Concussion • Muscular Dystrophy • Technology Dependent • Craniofacial Feeding • Neuro Metabolic • Tuberous Sclerosis • Craniofacial Speech • Neuro Spine • Vagus Nerve Stimulation • Developmental Neurology • Neurofibromatosis • Vascular Anomalies • Developmental Progress • Neurogastroenterology and Motility • Differences of Sexual Development • Neuromuscular • Epilepsy/Ketogenic Diet • New-Onset Seizure

Visit choa.org/cpg for additional information about our specialties and clinics.

6 Physician-to-physician service Four ways to refer a patient Physician-to-physician is a service offered through At Children’s Physician Group, we want to make it easy for you 404-785-DOCS (3627). The goal of this service is to provide to submit a referral to our pediatric specialty practices. you with improved access to Children’s Physician Group practices during business hours. A designated provider for To refer a patient, use one of the following four methods: participating Children’s Physician Group practices is available • accessCHOA: AccessCHOA is a free, secure, web-based Monday through Friday from 8 a.m. to 5 p.m., excluding electronic health record system that provides physicians holidays, to respond to your non-urgent clinical inquiry. the ability to electronically submit referrals to Children’s Physician Group specialists. It also provides instant access Physician-to-physician consultations should be requested to your patients’ information, customized notifications about when you need to speak with a subspecialist for advice patient events, and the ability to view the referral status about a patient. It should not be used for questions that do and results. not require a subspecialist physician, such as lab results or appointment scheduling. • choa.org/md: Visit the Physician Resource page on the Children’s website for access to the Children’s Physician Group online referral form. Upload relevant clinical Enhancements documents, patient demographics and imaging/diagnostic To improve your experience with our physician-to-physician tests with the click of a button. service and better meet your needs, we have made the • Fax: See the Forms section for a hard copy of the Children’s following enhancements: Physician Group referral form. Completed forms may be • Non-urgent, established patients: Our turnaround time faxed to 404-785-9111. has been designated to 24 hours. • 404-785-DOCS (3627): This single point of contact for • Urgent, established or non-established patients: physicians streamlines the referral process through an easy- Our turnaround time has been designated to 60 minutes. to-remember phone number. 404-785-DOCS is staffed In more than 60% of cases, you will be connected directly 24 hours a day, seven days a week. Call 404-785-DOCS with a subspecialist. and ask to speak with the clinical referral team to receive • Escalation: If you do not receive a call back in the the status of your referral. Our clinical referral team is designated time frame, call 404-785-DOCS (3627) and available Monday through Friday from 8 a.m. to 5 p.m. your call will be escalated to practice leadership. for any questions or concerns regarding your patient’s clinical referral.

See the Contact information section for a listing of Children’s Physician Group ambulatory specialties, physicians and locations.

7

Contact information Contact information

Clinical service areas

Physicians: 404-785-DOCS (3627) Parent/guardian: 404-785-KIDS (5437) Transfer Center: 888-785-7778 or 404-785-7778 Website: choa.org/md

The following is an alphabetical listing of Children’s Healthcare of Atlanta programs and services as well as Children’s Physician Group ambulatory practices and physicians.

ADOLESCENT MEDICINE 404-785-9855 404-785-9726

Hughes Spalding hospital 35 Jessie Hill Jr. Drive SE Atlanta, GA 30303

AFTER-HOURS CLINIC 404-785-5475 404-785-9231

Hughes Spalding hospital 35 Jessie Hill Jr. Drive SE Atlanta, GA 30303

ALLERGY AND IMMUNOLOGY Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) Hughes Spalding (Mon, Tue) 1400 Tullie Road NE, Fifth Floor 35 Jesse Hill Jr. Drive SE Atlanta, GA 30329 Atlanta, GA 30303 All physicians Drs. G. Lee, T. Lee, Vanijcharoenkarn

Physicians: Lisa Kobrynski, MD, MPH Tricia Lee, MD Brian Vickery, MD Marcus Professor, Allergy Assistant Professor, Director, Food Allergy and Immunology Emory University School Program Associate Professor, of Medicine Associate Professor, Emory University School Interests: food allergies, Emory University School of Medicine environmental allergies, of Medicine Interest: asthma, atopic dermatitis immunodeficiency Interests: asthma, atopic dermatitis, eosinophilic Merin Kalangara, MD Kristine disease, food allergies, Vanijcharoenkarn, MD Assistant Professor, general allergy and Emory University School Assistant Professor, immunology of Medicine Emory University School Interests: allergic rhinitis, of Medicine atopic dermatitis, drug Interests: food allergies, nasal polyps, allergy, eczema, sinusitis hives, angioedema, enviornmental allergies, Gerald Lee, MD asthma, drug allergies Assistant Professor, Emory University School of Medicine Interests: asthma, drug allergies, eczema, food allergies, hives

9 APNEA Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Children’s at Houston Mill (Wed) 1547 Clifton Road NE, First Floor Atlanta, GA 30322 All physicians

Physicians: Devon Greene, MD, Eric Price, MD Arlene Stecenko, MD MPH Assistant Professor, Chief, Pulmonology, Assistant Professor, Emory University School Allergy/Immunology, Emory University School of Medicine Cystic Fibrosis and Sleep of Medicine Marcus Professor, Pulmonology Lokesh Guglani, MD Samar Shah, MD Associate Professor, Assistant Professor, Medical Director, Apnea Emory University School of Medicine Emory University School Assistant Professor, of Medicine Emory University School of Medicine Snehal Vala, MD Assistant Professor, Ajay Kasi, MD Emory University School Sheel Shah, MD of Medicine Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine

Rachel Linnemann, MD Dawn Simon, MD Co-Director, Cystic Fibrosis Program Medical Director, Pulmonology, Allergy/ Director, Children’s and Immunology, Cystic Emory Cystic Fibrosis Fibrosis and Sleep Center Medical Director, Assistant Professor, Aerodigestive Center Emory University School of Medicine Associate Professor, Emory University School of Medicine

AUDIOLOGY 404-785-7174 404-785-7113

Our services are available at several neighborhood locations throughout metro Atlanta. These locations are departments of Children’s at Scottish Rite hospital. Visit choa.org for addresses and directions.

AUTISM AND RELATED DISORDERS 404-785-9400 404-785-9067

Marcus Center 1920 Briarcliff Road Atlanta, GA 30329

• Applied behavior analysis therapy services • Learning and Language Program • Feeding Program • and medical/developmental pediatrics • Clinical assessment and diagnostics • Severe Behavior Program

Marcus Autism Center requires a provider referral for all new patients. To submit a referral, visit marcus.org/appointment and navigate to the “For Providers” section.

10 BEHAVIORAL HEALTH 404-785-DOCS (3627)

Behavioral Health Physician Advice Line Monday through Friday Noon to 4 p.m. This is a nonemergency phone service for providers seeking advice on behavioral and/or mental health issues affecting children and adolescents. Use this line to discuss de-identified behavior and mental health-related patient care questions.

CARDIAC Heart Center 800-542-2233 or 404-256-2593

Egleston hospital 1405 Clifton Road NE Atlanta, GA 30322

Specialty programs and clinics: • Fetal Cardiology Program • Preventive Cardiology Program • and Vascular Program • Heart Transplant Program • Project S.A.V.E. • Arrhythmia Program • Hypertrophic Cardiomyopathy • Pulmonary Hypertension Program • Cardiac Genetics Program Program • Ventricular Assist Device (VAD) • Congenital Heart Center of • Muscular Dystrophy Clinic Program • Neurodevelopmental Program

CARDIOLOGY Sibley Heart Center Cardiology 800-542-2233 OR 404-256-2593

Center for Advanced Pediatrics Columbus Marietta 1400 Tullie Road, Sixth Floor 705 17th St., Suite 406 355 Tower Road, Suite 204 Atlanta, GA 30329 Columbus, GA 31901 Marietta, GA 30060 Children’s at Hamilton Mill Cumming Newnan 2069 Teron Trace, Suite 300 2000 Howard Farm Drive, Suite 320 60 Oak Hill Blvd., Suite 102 Newnan, GA 30265 Dacula, GA 30019 Cumming, GA 30041 Rockdale Children’s at Old Milton Parkway Dalton 2135 Eastview Parkway, Suite 300 3300 Old Milton Parkway, Suite 100 1504 North Thornton Ave., Suite 105 Conyers, GA 30013 Alpharetta, GA 30005 Dalton, GA 30720 Stockbridge Medical Office Building at Gainesville 202 Village Center Parkway Scottish Rite hospital 200 South Enota Drive NE, Suite 400 Stockbridge, GA 30281 5461 Meridian Mark Road NE Gainesville, GA 30501 Thomasville Atlanta, GA 30342 Johns Creek 915 Gordon Ave. Albany 3890 Johns Creek Parkway, Suite 240 Thomasville, GA 31792 Suwanee, GA 30024 2709 Meredyth Drive, Suite 250 Valdosta Albany, GA 31707 Lawrenceville 2418 North Oak St. 738 Old Norcross Road, Suite 110 Athens Valdosta, GA 31602 Lawrenceville, GA 30046 1000 Hawthorne Ave., Suite S Villa Rica Athens, GA 30606 Macon 705 Dallas Highway, Suite 204 1062 Forsyth St., Suite 3A Villa Rica, GA 30180 Canton Macon, GA 31201 134 Riverstone Terrace, Suite 202 Canton, GA 30114

11 CARDIOTHORACIC SURGERY Children’s Physician Group 404-785-6330 404-785-6266

Egleston hospital (Mon, Tue, Wed, Fri) 1405 Clifton Road NE Atlanta, GA 30322

Physicians: Paul Chai, MD Joshua Rosenblum, MD, Fawwaz Shaw, MD Chief, Cardiothoracic PhD Surgical Director, Heart Surgery Assistant Professor, Transplant Co-Chief, Heart Center Emory University School Assistant Professor, Associate Professor, of Medicine Emory University School Emory University School Interests: neonatal, of Medicine of Medicine pediatric and adult Interests: neonatal Interests: congenital congenital cardiac heart surgery, advanced heart disease, heart surgery; connective tissue cardiac therapies, heart transplant, pediatric disease; heart transplant; transplant, emerging mechanical support mechanical support imaging technologies, systems mechanical circulatory Subhadra Shashidharan, support Kirk Kanter, MD MD Professor, Emory Assistant Professor, University School of Emory University School Medicine of Medicine Interest: congenital heart Interests: neonatal disease cardiac surgery, heart transplant, thoracic surgery

CHILD ADVOCACY Stephanie V. Blank Center for Safe and Healthy Children

Hughes Spalding hospital (Mon-Fri) Northside Professional Center (Mon-Fri) 35 Jessie Hill Jr. Drive SE 975 Johnson Ferry Road, Suite 350 Atlanta, GA 30303 Atlanta, GA 30342 Phone: 404-785-9930 Phone: 404-785-3820 Fax: 404-785-9783 Fax: 404-785-3850

A department of Children’s at Scottish Rite hospital

Physicians: Verena Brown, MD Stephen Messner, MD, FAAP Medical Director, Tamika Bryant, MD, FAAP Child Advocacy Center

Jordan Greenbaum, MD

CONCUSSION 404-785-DOCS (3627) 404-785-9111

Egleston hospital Scottish Rite hospital Center for Advanced Pediatrics 1405 Clifton Road NE 1001 Johnson Ferry Road NE 1400 Tullie Road NE Atlanta, GA 30322 Atlanta, GA 30342 Atlanta, GA 30329

12 CONCUSSION (CONTINUED)

Neurosurgeon: Sports medicine physicians: Neurologists: Andrew Reisner, MD Armand Scurfield, MD Barbara Weissman, MD Medical Director, Interests: nonoperative Medical Director, Concussion Program musculoskeletal Neurology Quality Medical Director, Neuro conditions, sports Associate Professor, Trauma and Concussion injuries, overuse injuries Emory University School Interests: brain tumors, and team sports, of Medicine concussions, Gamma concussion management Interests: knife radiosurgery, neurorehabilitation, hydrocephalus, pituitary J. Stephen Kroll, MD cerebral palsy, traumatic disorders and tumors Interests: nonoperative brain injury, concussion, musculoskeletal general pediatric Neuropsychologists: conditions, sports neurology injuries, overuse injuries Laura Blackwell, PhD, and team sports, ABPD Jasmine Forte, MD concussion management Interests: acquired brain Assistant Professor, injury, chronic pain, Emory University School Physiatrists: concussion, pediatric of Medicine Interests: general neuropsychology, Laura Jones, MD traumatic brain injury pediatric neurology, migraines, concussion, idiopathic intracranial Thomas Burns, PsyD, hypertension, sports ABPP neurology, tension-type Director, Concussion headaches Research Udayan Kulkarni, MD Interests: acquired brain injury, cerebral palsy, concussion, epilepsy,

Elyssa Gerst, PhD Elizabeth Poplawski, DO Interests: cognitive development in children with complex medical histories, impact of congenital or acquired neurological disorders on Joshua Vova, MD, FAAP, neuropsychological FAAPMR functioning Medical Director, Rehabilitation Jacqueline Kiefel, PhD Interests: concussion, Duchenne muscular dystrophy, neurofibromatosis, spina bifida, traumatic brain injury

Psychologist: Laura Wright, PhD Interests: pain assessment and treatment, chronic pain, promotion of resilience and adaptation among youth who experience pain

13 CYSTIC FIBROSIS Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) 1400 Tullie Road NE, Fifth Floor Atlanta, GA 30329 All physicians

Physicians: Allan Dias, MD Kevin Kirchner, MD Julie Sedor, MD Medical Director, Co-Director, Pediatric Children’s Physician Cystic Fibrosis Program Group–Pulmonology at Scottish Rite

Lokesh Guglani, MD LaTresa Lang, MD Haitham Shahrour, MD Assistant Professor, Emory University School of Medicine

Matthew Hazen, MD Rachel Linnemann, MD Arlene Stecenko, MD Director, Asthma Center Director, Cystic Fibrosis Marcus Professor, Hughes Spalding hospital Center Pulmonology Co-Director, Pediatric Chief, Pulmonology, Cystic Fibrosis Program Allergy/Immunology, Assistant Professor, Cystic Fibrosis and Sleep Ajay Kasi, MD Emory University School Medical Director, Cystic Assistant Professor, of Medicine Fibrosis Center Emory University School Associate Professor, of Medicine Emory University School of Medicine

14 DEVELOPMENTAL PROGRESS Children’s Physician Group 404-778-1468 404-778-1467

Center for Advanced Pediatrics (Mon, Tue) This clinic provides neurodevelopmental follow-up evaluations for NICU graduates who 1400 Tullie Road NE, Second Floor are identified as being at an increased risk for long-term developmental problems due to Atlanta, GA 30329 preterm birth or complex medical conditions. Services are provided to children up to age 4.

Physicians: Psychologists: Salathiel Kendrick- Sheena Carter, PhD Traci Williams, PsyD Allwood, MD Assistant Professor, Assistant Professor, Associate Professor, Emory University School Emory University School Emory University School of Medicine of Medicine of Medicine

Sarah Rice, MD Amy Sanders, PsyD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine

Hughes Spalding Clinic 404-778-1468 404-778-1467

Hughes Spalding hospital (Thu, Fri) 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303

DIABETES AND ENDOCRINOLOGY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) Children’s at Meridian Mark (Mon-Fri) Children’s at Town Center 1400 Tullie Road NE, Third Floor 5445 Meridian Mark Road, Suite 420 Outpatient Care Center Atlanta, GA 30329 Atlanta, GA 30342 (Tue, Wed) 605 Big Shanty Road NW Clinics: bone, , endocrinology, lipid, Clinic: endocrinology Kennesaw, GA 30144 Turner syndrome Children’s at North Point (Thu, Fri) Drs. Baldwin, Golekoh Children’s at Forsyth (2nd and 4th Thu) 3795 Mansell Road In The Collection at Forsyth Alpharetta, GA 30022 410 Peachtree Parkway, Suite 300 Drs. Felner, Rappaport Cumming, GA 30041 Children’s at Satellite Boulevard Dr. Low (Wed, Thu, Fri) 2660 Satellite Blvd. Duluth, GA 30096 Drs. Anderson, Fadoul, George

15 DIABETES AND ENDOCRINOLOGY (CONTINUED)

Shruthi Arora, MD Doris Fadoju, MD Andrew Muir, MD Associate Professor, Assistant Professor, Marcus Professor, Emory University School Emory University School Endocrinology of Medicine of Medicine Medical Director, Interests: thyroid cancer Interests: obesity, puberty Endocrinology and thyroid nodules, Professor, Emory diabetes technology, Hiba Fadoul, MD University School diabetes, general of Medicine endocrinology Leonidas Brooke Anderson, MD Panagiotakopoulos, MD Assistant Professor, Eric Felner, MD Emory University School Professor, Emory of Medicine University School of Medicine Briana Patterson, MD Stephen Anderson, MD Associate Professor, Emory University School Sobenna George, MD of Medicine Assistant Professor, Interests: adrenal Emory University School insufficiency, cancer of Medicine Constance Baldwin, MD late effects, disorders of sexual development, Marjorie Golekoh, MD neuroendocrinology

Mark Rappaport, MD, PhD

Kristina Cossen, MD Assistant Professor, Karen Loechner, MD, Emory University School PhD of Medicine Associate Professor, Malinda Wu, MD Emory University School Associate Professor, of Medicine Emory University School Tanicia Daley, MD of Medicine Joey Low, MD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine

Diabetes Education Program

Egleston hospital Scottish Rite hospital 1405 Clifton Road NE 1001 Johnson Ferry Road NE Atlanta, GA 30322 Atlanta, GA 30342 404-785-1724 404-785-4841

16 FETAL CARE CENTER 404-785-3916 404-785-1526

Egleston hospital Scottish Rite hospital 1405 Clifton Road NE 1001 Johnson Ferry Road NE Atlanta, GA 30322 Atlanta, GA 30342

GASTROENTEROLOGY AND HEPATOLOGY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) Children’s at Town Center Outpatient Marcus Autism Center (Wed) 1400 Tullie Road NE Care Center (1st, 3rd and 5th Thu) 1920 Briarcliff Road 605 Big Shanty Road NW, Second Floor Atlanta, GA 30329 Atlanta, GA 30329 Clinics: aerodigestive, eosinophilic esophagitis Kennesaw, GA 30144 Clinics: general GI, autism research (EoE), general GI, hepatology, IBD, intestinal Clinic: general GI Dr. McElhanon rehab, feeding, pancreas Drs. Bashaw, Lopez Drs. Bashaw, Berauer, Freeman, Gupta, Athens (2nd Thu) Karpen, Kruszewski, Kugathasan, Lopez, Egleston hospital (on the St. Mary’s Hospital campus) McElhanon, Niklinska-Schirtz, Patel, Romero, 1405 Clifton Road NE 1230 Baxter St. Sauer, Schoen, Soler-Rodriguez, Tenjarla, Vos Atlanta, GA 30322 Services: ERCP, procedures Athens, GA 30606 Children’s at Satellite Boulevard Clinic: general GI (Mon, Thu) Emory Children’s Center Building Dr. Kruszewski 2660 Satellite Blvd. (Wed, Thu, Fri) Duluth, GA 30096 2015 Uppergate Drive NE Clinics: general GI, hepatology Atlanta, GA 30322 Drs. Berauer, Kruszewski, Patel, Clinic: liver transplant Soler-Rodriguez, Vos Drs. Berauer, Freeman, Gupta, Karpen, Romero, Soler-Rodriguez, Vos

Physicians: Hillary Bashaw, MD Nitika Gupta, MD, DCH, Patrice Kruszewski, DO Assistant Professor, DNB, MRCPCH Assistant Professor, Emory University School Director, Liver Transplant Emory University School of Medicine Adolescent Transition of Medicine Interests: nutrition, Program Interests: EoE, IBD pancreatic disorders Professor, Emory University School Subra Kugathasan, MD John-Paul Berauer, MD of Medicine Scientific Director, IBD Director, Intestinal Rehab Interests: liver disease, Marcus Professor, Program pre- and post-transplant Emory University School Assistant Professor, care of Medicine Emory University School Interest: IBD of Medicine Saul Karpen, MD, PhD Interests: liver diseases, Division Chief Chrissy Lopez, MD short bowel syndrome Raymond F. Schinazi Assistant Professor, Distinguished Biomedical Emory University School A. Jay Freeman, MD, MSc Chair of Medicine Director, Advanced Professor, Emory Interests: liver and GI Pancreatic Care Program University School diseases, transplant Director of Digestive of Medicine hepatology Health, CF Program Interests: liver diseases, Assistant Professor, pre- and post-liver Emory University School transplant care of Medicine Interests: GI manifestations of CF, liver diseases, disorders of the pancreas and pancreatitis 17 GASTROENTEROLOGY AND HEPATOLOGY (CONTINUED)

Barbara McElhanon, MD Cary Sauer, MD, MSc Field Willingham, MD, Medical Director, Medical Director, MPH, FASGE Feeding Program, Endoscopy Program Medical Director, Marcus Autism Center System Medical Director, Therapeutic Endoscopy and ERCP Associate Professor, Gastroenterology, Associate Professor, Emory University School Hepatology and Nutrition Emory University School of Medicine Associate Professor, of Medicine Interests: GI issues, Emory University School Interests: interventional feeding, aerodigestive of Medicine and advanced endoscopy disorders, autism Interests: IBD, GI issues spectrum disorder Pyschologists: Bess Schoen, MD Jessica Buzenski, PhD Joanna Niklinska- Medical Director, Pediatric Psychologist, Schirtz, MD ImproveCareNow Gastroenterology Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine Interests: IBD, nutrition, Interests: IBD, GI issues Gloria Chiang, PhD celiac disease Dellys Soler-Rodriguez, Pediatric Psychologist, Sonal Patel, MD MD Hepatology Assistant Professor, Program Director, Transplant Hepatology Emory University School Assistant Professor, of Medicine Emory University School Bonney Reed, PhD Interests: IBD, enteral of Medicine Pediatric Psychologist, feeding, nutrition Interests: portal Gastroenterology hypertension, metabolic Rene Romero, MD liver disease, biliary Medical Director, atresia, post-transplant Transplant medical issues

Clinical Director, Gayathri Tenjarla, MD Pediatric Hepatology Assistant Professor, Professor, Emory Emory University School University School of of Medicine Medicine Interests: EoE, GI issues Interests: liver diseases, short bowel syndrome, Miriam Vos, MD, MSPH pre- and post-liver Director, Nonalcoholic transplant care Fatty Liver Disease Program Program Director, Transplant Wellness Associate Professor, Emory University School of Medicine Interests: liver diseases, pre- and post-liver transplant care

Fecal microbiota transplant 404-785-DOCS (3627) 404-785-9111

Scottish Rite hospital 1001 Johnson Ferry Road NE Atlanta, GA 30342

18 GENERAL SURGERY Children’s Physician Group 404-785-8787 (Egleston-based) 404-785-8788 (Egleston-based)

Children’s Physician Group 404-785-6895 (Scottish Rite-based) 404-785-6896 (Scottish Rite-based)

Center for Advanced Pediatrics (Mon-Fri) Children’s at Forsyth (Thu) Medical Office Building at 1400 Tullie Road NE, First Floor In The Collection at Forsyth Scottish Rite hospital (Mon-Fri) Atlanta, GA 30329 410 Peachtree Parkway 5461 Meridian Mark Road NE Egleston-based physicians Cumming, GA 30041 Suite 570 Drs. Norelius, Raschbaum Atlanta, GA 30342 Children’s at Cherokee (every other Wed) Scottish Rite-based physicians 1558 Riverstone Parkway, Suite 100 Children’s at Satellite Boulevard Canton, GA 30114 (Mon, Tue, Wed, Fri) Athens (2nd and 4th Wed) Dr. Bussey 2660 Satellite Blvd. 1000 Hawthorne Ave., Suite S Duluth, GA 30096 Athens, GA 30606 Children’s at Fayette (1st and 3rd Mon) Drs. Bhatia, Chahine, Clifton, Glasson, Dr. Clifton In Piedmont Fayette hospital Linden, Meisel, Santore, Smith 1265 Highway 54 West, Suite 200 Columbus (2nd and 3rd Wed) Fayetteville, GA 30214 Children’s at Town Center 705 17th St., Suite 406 Dr. Bhatia Outpatient Care Center (Thu) Columbus, GA 31901 605 Big Shanty Road NW Drs. Chahine, Santore Kennesaw, GA 30144 Drs. Bansal, Bleacher, Meisel

Egleston-based surgeons: Amina Bhatia, MD, MS, Megan Durham, MD, FACS Jonathan Meisel, MD, FACS, FAAP Practice Director, FACS, FAAP Medical Director, Trauma Children’s Physician Assistant Professor, Services, Egleston Group–Pediatric Surgery Emory University School Interests: Hirschsprung Medical Director, Pelvic of Medicine and Anorectal Care disease, minimally Interests: colorectal invasive surgery, neonatal Surgical Director, surgery, surgical Intestinal Rehab surgery and prenatal oncology, pectus consults, patent ductus Associate Professor, excavatum, IBD, Emory University School ligation, pectus repair, congenital anomalies, of Medicine thoracic and trauma minimally invasive Interests: congenital surgery surgery, neonatal surgery, anomalies, noncardiac prenatal consults thoracic surgery and A. Alfred Chahine, MD, neonatal surgery, FACS, FAAP intestinal failure, Paul Parker, MD, FACS, Associate Professor, anorectal malformations, FAAP Emory University School Hirschsprung disease, Interests: appendicitis, of Medicine surgical oncology hernias, pectus deformities, minimally Matthew Clifton, MD, Allison Linden, MD invasive surgery, thoracic FACS, FAAP Medical Director, NICU surgery, newborn surgery, Chief, General Surgery and PICU prenatal consults, trauma, Associate Professor, Assistant Professor, adolescent surgery Emory University School Emory University School of Medicine of Medicine Interests: neonatal Interests: hepatobiliary surgery, minimally surgery, minimally invasive surgery, surgical invasive surgery, prenatal critical care, ECMO, consultation and global surgery newborn surgery, surgical oncology 19 GENERAL SURGERY (CONTINUED)

Matthew Santore, MD, Joseph Bussey, MD, George Raschbaum, FACS, FAAP FACS, FAAP MD, FACS, FAAP Medical Director, Surgical Interests: abdominal Quality wall defects, anorectal Surgical Director malformations, pectus Assistant Professor, repair, Hirschsprung Emory University School disease, GE reflux- Alexis Smith, MD of Medicine fundoplication, minimally Interests: ECMO Interests: ECMO, invasive surgery, neonatal management, surgical minimally invasive and pediatric surgery, education, minimally surgery and single-site prenatal consults invasive surgery, pediatric laparoscopic surgery, trauma neonatal surgery, Julie Glasson, MD, prenatal consults, FACS, FAAP endocrine surgery, Interests: Hirschsprung thyroid surgery, surgical disease, IBD, adnexal oncology, trauma surgery, pathology, neonatal thoracic surgery, IBD, intestinal anomalies and cystic lung disease abdominal wall defects, necrotizing enterocolitis, Scottish Rite-based surgeons: ovarian pathology, Samiksha Bansal, MD hepatic and pediatric Interests: tumors, trauma surgery, gastroesophageal reflux endocrine surgery, disease, minimally pancreatic surgery, invasive surgery, patent ductus ligation thoracoscopic surgery Rona Norelius, MD, John Bleacher, MD, FACS, FAAP FACS, FAAP Interests: branchial clefts, Medical Director, Trauma chest wall deformities, Services, Scottish Rite chest masses, neonatal Interests: abdominal congenital deformities, wall defects, anorectal inguinal hernias, malformations, pectus undescended testicles, repair, Hirschsprung pediatric cancer disease, GE reflux- fundoplication, minimally invasive surgery, neonatal and pediatric surgery, prenatal consultations

GENETICS 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics Judson L. Hawk Jr., MD, Clinic for Children 1400 Tullie Road NE, Sixth Floor Atlanta, GA 30329

A department of Children’s at Scottish Rite hospital

20 GYNECOLOGY Children’s Physician Group 404-785-1491 404-785-8788

Center for Advanced Pediatrics Medical Office Building at (Mon, Wed) Scottish Rite hospital (Fri) 1400 Tullie Road NE, First Floor 5461 Meridian Mark Road NE, Suite 570 Atlanta, GA 30329 Atlanta, GA 30342

Physicians: Krista Childress, MD Nancy Sokkary, MD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine Interests: congenital Interests: abnormal anomalies of the menses and puberty, reproductive tract, complex contraception, fertility preservation, ovarian masses, pre- menstrual problems, pubertal vaginitis ovarian masses, puberty abnormalities

HEMATOLOGY/ONCOLOGY

Aflac Cancer and Blood Disorders Center 404-785-1112 or 888-785-1112 404-785-9111

Egleston hospital Scottish Rite hospital Medical Office Building at 1405 Clifton Road NE 1001 Johnson Ferry Road NE Scottish Rite hospital (Mon-Fri) Atlanta, GA 30322 Atlanta, GA 30342 5461 Meridian Mark Road Inpatient and outpatient: cancer, blood Inpatient: cancer, blood disorders Atlanta, GA 30342 disorders, blood and marrow transplant (BMT) A department of Children’s at Scottish Rite hospital Hughes Spalding hospital Day Hospital at Scottish Rite hospital Outpatient: cancer, blood disorders 35 Jesse Hill Jr. Drive SE, Second Floor (Mon-Fri) th th Atlanta, GA 30303 1001 Johnson Ferry Road NE, Fifth Floor Columbus Clinic (4 and 5 Wed) 705 17th St., Suite 406 Outpatient: blood disorders, transfusion Atlanta, GA 30342 Columbus, GA 31901 services Outpatient: cancer, blood disorders, infusion services Outpatient: sickle cell

BMT physicians:

Shanmuganathan Lakshmanan Muna Qayed, MD, Chandrakasan, MD Krishnamurti, MD MSCR Medical Director, Immune Professor, Emory Program Director, BMT Dysregulation University School Associate Professor, Assistant Professor, of Medicine Emory University Emory University School of Medicine School of Medicine Kathryn Leung, MD, FAAP Michelle Schoettler, MD Ann Haight, MD Clinical Director, BMT Assistant Professor, Associate Professor, Associate Professor, Emory University Emory University Emory University School School of Medicine School of Medicine of Medicine

Suhag Parikh, MD Benjamin Watkins, MD Edwin Horwitz, MD, PhD Associate Professor, Assistant Professor, Professor, Emory Emory University Emory University University School School of Medicine School of Medicine of Medicine 21 HEMATOLOGY/ONCOLOGY (CONTINUED)

Kirsten Williams, MD Anna Kenney, PhD Cancer predisposition physicians: Associate Professor, Associate Professor, Sarah Mitchell, MD Emory University School Emory University School of Medicine Assistant Professor, of Medicine Emory University School of Medicine

Tobey MacDonald, MD Bone marrow failure physician: Program Director, Christopher Porter, MD Staci Arnold, MD, Neuro-Oncology MPH, MBA Research Director Professor, Emory Program Medical Associate Professor, University School Director, General Emory University School Hematology of Medicine of Medicine Assistant Professor, Emory University School Sarah Mitchell, MD of Medicine Assistant Professor, Cancer survivorship physicians: Emory University School Cancer precision medicine physicians: Karen Effinger, MD, MS of Medicine Clinical Operations Thomas Cash, MD, MSc Clinical Director, Solid Director, Cancer Tumor Program Survivorship Assistant Professor, Melinda Pauly, MD Assistant Professor, Emory University Medical Director, Aflac Emory University School School of Medicine Cancer and Blood of Medicine Disorders Center at R. Craig Castellino, MD Scottish Rite Hospital Jordan Marchak, PhD, Associate Professor, ABPP Emory University School Assistant Professor, of Medicine Emory University Associate Professor, School of Medicine Emory University School of Medicine Christopher Porter, MD Sharon Castellino, Research Director Lillian Meacham, MD MD, MSc Program Director, Program Director, Associate Professor, Fertility Preservation Leukemia and Emory University Lymphoma School of Medicine Professor, Emory Associate Professor, University School Emory University of Medicine School of Medicine Himalee Sabnis, MD, MSc Briana Patterson, MD, Jason Fangusaro, MD Assistant Professor, MSc Program Director, Emory University School Developmental Associate Professor, of Medicine Therapeutics Emory University School Associate Professor, of Medicine Emory University School Daniel Wechsler, MD, of Medicine PhD Program Director, Developmental therapeutics Kelly Goldsmith, MD Oncology physicians: Clinical Director, Precision Medicine Co-Director, Precision Dolly Aguilera, MD Program Medicine Program Assistant Professor, Associate Professor, Co-Director, Fellowship Emory University School Emory University Program of Medicine School of Medicine Professor, Emory Douglas Graham, University School Thomas Cash, MD, MSc MD, PhD of Medicine Chief, Aflac Cancer and Clinical Director, Solid Blood Disorders Center Tumor Program Co-Director, Precision Assistant Professor, Medicine Program Emory University School Professor, Emory of Medicine University School of Medicine 22 HEMATOLOGY/ONCOLOGY (CONTINUED)

R. Craig Castellino, MD , MD, Hemostasis and thrombosis physicians: Associate Professor, MSCR Glaivy Batsuli, MD Emory University School Assistant Professor, Assistant Professor, of Medicine Emory University School Emory University School of Medicine of Medicine

Jason Fangusaro, MD Jeanne Boudreaux, MD Program Director, Clinical Director, General Carolyn Bennett, MD, Developmental Hematology MSCR Therapeutics Associate Professor, Assistant Professor, Associate Professor, Emory University School Emory University School Emory University of Medicine of Medicine School of Medicine Michael Briones, DO Megan Brown, MD Kelly Goldsmith, MD Medical Director, Aflac Director, Young Women’s Clinical Director, Precision Cancer and Blood Bleeding Clinic Medicine Program Disorders Center Senior Clinic Associate, Associate Professor, at Egelston Hospital Emory University School Emory University School Associate Professor, of Medicine of Medicine Emory University School of Medicine Shannon Meeks, MD Tobey MacDonald, MD Program Director, Program Director, Shanmuganathan Hemostasis/Thrombrosis Neuro-Oncology Chandrakasan, MD Program Professor, Emory Medical Director, Associate Professor, University School Immune Dysregulation Emory University School of Medicine Assistant Professor, of Medicine Emory University School of Medicine Melinda Pauly, MD Robert Sidonio Jr., Medical Director, Aflac Satheesh Chonat, MD MD, MSc Cancer and Blood Assistant Professor, Medical Director, Disorders Center at Emory University School Hemostasis Scottish Rite Hospital of Medicine Assistant Professor, Assistant Professor, Emory University School Emory University of Medicine School of Medicine Wilbur Lam, MD, PhD Michael White, MD Chief Innovation Assistant Professor, Himalee Sabnis, Officer, Pediatric Emory University MD, MSc Technology Center Assistant Professor, School of Medicine Associate Professor, Emory University Emory University School of Medicine School of Medicine Gary Woods, MD Marianne Yee, MD, MSc Medical Director, General hematology physicians: Assistant Professor, Thrombosis Staci Arnold, MD, MPH, Emory University School Assistant Professor, MBA of Medicine Emory University Program Medical Director, School of Medicine General Hematology Karen Zimowski, MD Assistant Professor, Emory Assistant Professor, University School of Emory University Medicine School of Medicine

Glaivy Batsuli, MD Assistant Professor, Emory University School of Medicine 23 HEMATOLOGY/ONCOLOGY (CONTINUED)

Immune dysregulation physician: Tamara Miller, MD, Anna Janss, MD, PhD Shanmuganathan MSCE Clinical Director, Chandrakasan, MD Assistant Professor, Neuro-Oncology Clinical Director, Immune Emory University School Associate Professor, Dysregulation of Medicine Emory University School Assistant Professor, of Medicine Emory University Melinda Pauly, MD Tobey MacDonald, MD School of Medicine Medical Director, Aflac Program Director, Cancer and Blood Neuro-Oncology Leukemia and lymphoma physicians: Disorders Center at Professor, Emory Scottish Rite Hospital Waitman Aumann, University School MD, MS Assistant Professor, of Medicine Assistant Professor, Emory University School Emory University of Medicine Claire Mazewski, MD School of Medicine Christopher Porter, MD Associate Professor, John Bergsagel, MD Director, Cancer Emory University School Assistant Professor, Predisposition of Medicine Emory University Associate Professor, School of Medicine Emory University School Sickle cell disease physicians: of Medicine Nitya Bakshi, MD Sharon Castellino, Sunil Rakar, MD Assistant Professor, MD, MSc Assistant Professor, Emory University School Program Medical Emory University School of Medicine Director, Leukemia of Medicine and Lymphoma Associate Professor, R. Clark Brown, Emory University Himalee Sabnis, MD, MD, PhD School of Medicine MSc Assistant Professor, Director, Sickle Cell Kavita Dhodapkar, MD Emory University School Disease Research Associate Professor, of Medicine Associate Professor, Emory University Emory University School School of Medicine Daniel Wechsler, MD, of Medicine PhD Carlton Dampier, MD Program Director, Professor, Emory Douglas Graham, Oncology University School MD, PhD Co-Director, Precision of Medicine Chief, Aflac Cancer and Medicine Program Blood Disorders Center Co-Director, Fellowship Co-Director, Precision Program Medicine Program Beatrice Gee, MD Assistant Professor, Clinical Director, Sickle Professor, Emory Emory University School Cell Disease, System University School of of Medicine and Hughes Spalding Medicine Hospital Neuro-oncology physicians: Frank Keller, MD Professor, Emory Associate Professor, Dolly Aguilera, MD University School Emory University School Assistant Professor, of Medicine of Medicine Emory University School of Medicine Angelica James-Herry, MD Glen Lew, MD Assistant Professor, Associate Program R. Craig Castellino, MD Emory University School Director, Fellowship Associate Professor, of Medicine Associate Professor, Emory University School Emory University School of Medicine of Medicine 24 HEMATOLOGY/ONCOLOGY (CONTINUED)

Clinton Joiner, MD, PhD Marianne Yee, MD, MSc Kathryn Sutton, MD Director, Hematology Clinical Director, Program Director, Professor, Emory Sickle Cell Disease Fellowship Program University School Assistant Professor, Assistant Professor, of Medicine Emory University Emory University School School of Medicine of Medicine Peter Lane, MD Karen Wasilewski- Program Director, Solid tumor physicians: Sickle Cell Disease Masker, MD, MSc Professor, Emory Thomas Cash, MD, MSc Medical Director, Aflac University School Clinical Director, Solid Cancer and Blood of Medicine Tumor Program Disorders Center Assistant Professor, Associate Professor, Emory University School Wilbur Lam, MD, PhD Emory University School of Medicine Chief Innovation of Medicine Officer, Pediatric Bradley George, MD Transfusion medicine physician: Technology Center Assistant Professor, Cassandra Josephson, Associate Professor, Emory University School MD Emory University of Medicine School of Medicine Professor, Emory University School of Medicine Tamara New, MD Kelly Goldsmith, MD Medical Director, Sickle Clinical Director, Cell Disease at Egleston Precision Medicine : Hospital Program Katharine Brock, MD, MS Associate Professor, Associate Professor, Assistant Professor, Emory University Emory University School Emory University School School of Medicine of Medicine of Medicine Elna Saah, MD Andrew Hong, MD Assistant Professor, Assistant Professor, Emory University Emory University School School of Medicine of Medicine

Vivien Sheehan, MD Sarah Mitchell, MD Acting Associate Assistant Professor, Professor, Emory Emory University School University School of Medicine of Medicine

Amy Tang, MD Thomas Olson, MD Medical Director, Sickle Program Director, Solid Cell Disease at Scottish Tumor Program Rite Hospital Professor, Emory Assistant Professor, University School Emory University School of Medicine of Medicine

25 INFECTIOUS DISEASES Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Thu) * The clinic provides revaccination 1400 Tullie Road NE, Second Floor for children following a transplant or Atlanta, GA 30329 treatment that suppresses the immune system. It does not provide the COVID-19 Clinics: general infectious diseases, general vaccine for this population at this time vaccine clinic (1st, 2nd and 4th Mon)* (As of May 2021). Drs. Berkowitz, Fox, Goggin, Jaggi, Linam, Shane

Physicians: Evan Anderson, MD Thomas Fox, MD Matthew Linam, MD, MS Associate Professor, Assistant Professor, Emory Medical Director, Emory University School University School of Outcomes and Analytics of Medicine Medicine Associate Professor, Emory University School of Medicine Frank Berkowitz, Kathryn Goggin, MD MBBCh, MPH Associate Professor, Christina Rostad, MD Professor, Emory Emory University School Assistant Professor, Emory University School of of Medicine University School of Medicine Interests: infections in Medicine immunocompromised Andres Camacho- children, transplant Gonzales, MD infectious diseases, long- Andrea Shane, MD, Assistant Professor, term effects of sepsis and MPH, MSc Emory University School zoonotic infections Marcus Professor, of Medicine Cassie Grimsley Chief, Infectious Diseases Ann Chahroudi, MD, Ackerley, MD Associate Professor, PhD Associate Professor, Emory University School Associate Professor, Emory University School of Medicine Emory University School of Medicine of Medicine Preeti Jaggi, MD Lisa Cranmer, MD, MPH Associate Professor, Assistant Professor, Emory Emory University School University School of of Medicine Medicine

26 INTERVENTIONAL RADIOLOGY Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Wed-Fri) Egleston hospital Scottish Rite hospital 1400 Tullie Road NE, Sixth Floor 1405 Clifton Road NE 1001 Johnson Ferry Road NE Atlanta, GA 30329 Atlanta, GA 30322 Atlanta, GA 30342

Physicians: Anne Gill, MD C. Matthew Hawkins, MD Jay Shah, MD Assistant Professor, Director, Pediatric Assistant Professor, Emory University School Interventional Radiology Emory University School of Medicine Medical Director, Vascular of Medicine Anomalies Clinic Associate Professor, Darshan Variyam, MD Emory University School Assistant Professor, of Medicine Emory University School of Medicine

LAB

Egleston hospital 404-785-6415 404-785-6258 1405 Clifton Road NE (outpatient collection) Atlanta, GA 30322 Outpatient collection: Mon-Fri, 8 am. to 8 p.m.

Scottish Rite hospital 404-785-2039 404-785-4542 1001 Johnson Ferry Road NE (outpatient collection) Atlanta, GA 30342 Outpatient collection: Mon-Fri, 8 a.m. to 8 p.m.

Children’s at Satellite Boulevard 404-785-8465 404-785-8642 2660 Satellite Blvd. Duluth, GA 30096 Outpatient collection: Mon-Fri, 8 a.m. to 6 p.m.

Children’s at Town Center 404-785-9738 404-785-9774 625 Big Shanty Road NW Kennesaw, GA 30144 Outpatient collection: Mon-Fri, 7 a.m. to 7 p.m., Sat, 7 a.m. to 2 p.m. Pertussis swabs and catheterized urine collections for Children’s-ordered cultures only. Collections can be performed by nursing at this location on Mondays, Wednesdays and Fridays between 1 p.m. and 4 p.m.

Children’s at Webb Bridge 404-785-8154 404-785-8468 3155 North Point Parkway, Building A Alpharetta, GA 30005 Outpatient collection: Mon-Fri, 7 a.m. to 7 p.m., Sat, 7 a.m. to 2 p.m.

Pertussis swabs and catheterized urine collections for Children’s-ordered cultures only. Collections can be performed by nursing at this location on Mondays, Wednesdays and Fridays between 1 p.m. and 4 p.m.

27 NEPHROLOGY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) Children’s at Town Center Outpatient Athens 1400 Tullie Road NE, Second Floor Care Center (2nd and 4th Mon) On the St. Mary’s Hospital campus Atlanta, GA 30329 605 Big Shanty Road NW 1230 Baxter St. Clinics: general nephrology, hypertension Kennesaw, GA 30144 Athens, GA 30606 All physicians Phone: 706-543-0706 Clinics: general nephrology, Clinics: general nephrology, Children’s at North Point (Tue) hypertension 3795 Mansell Road hypertension Drs. George, Kennedy Alpharetta, GA 30022 Dr. Greenbaum Clinics: general nephrology, hypertension Emory Children’s Center Building Drs. Batisky, Shin (Mon-Fri) 2015 Uppergate Drive NE Children’s at Satellite Boulevard 2660 Satellite Blvd. Atlanta, GA 30322 Duluth, GA 30096 Clinics: chronic kidney disease, kidney transplant Clinics: general nephrology, hypertension Dr. Londeree

Physicians: Donald Batisky, MD Stephanie Jernigan, MD H. Stella Shin, MD Medical Director, Chief, Medicine Medical Director, Pediatric Hypertension General Nephrology Program Medical Director of Operations, Professor, Emory Medical Director, Acute Egleston Hospital University School Kidney Replacement of Medicine Associate Professor, Therapy Interest: hypertension Emory University School of Medicine Assistant Professor, Emory University School Rouba Garro, MD Interests: pediatric kidney disease, dialysis of Medicine Medical Director, Kidney Interests: acute kidney Transplant Sabina Kennedy, MD Associate Professor, injury, chronic kidney Medical Director, Chronic Emory University School diesease, dialysis of Medicine Kidney Disease Quality Improvement Interests: general Chia-shi Wang, MD Assistant Professor, nephrology, kidney Assistant Professor, transplant Emory University School of Medicine Emory University School of Medicine Roshan George, MD Interests: general Interests: general Medical Director, Kidney nephrology, chronic Transplant Transition kidney disease, dialysis nephrology, nephrotic Program syndrome Jackson Londeree, DO Associate Professor, Emory University School Assistant Professor, Barry Warshaw, MD of Medicine Emory University School Professor, Emory Interests: general of Medicine University School nephrology, kidney Interests: nephrotic of Medicine transplant syndrome, kidney transplant and Interests: kidney Larry Greenbaum, MD, immunosuppression, transplant PhD dialysis, medical Medical Director, education Pamela Winterberg, MD Nephrology Assistant Professor, Loretta Reyes, MD Executive Director, Emory University School Children’s Physician Group Assistant Professor, of Medicine Marcus Professor, Emory Emory University School Interests: general University School of of Medicine Medicine nephrology, kidney Interests: general Interests: atypical HUS, nephrology, kidney transplant, transplant cystinosis, nephrotic transplant immunology 28 syndrome NEUROLOGY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Egleston hospital Scottish Rite hospital Northside Professional Center 1405 Clifton Road NE 1001 Johnson Ferry Road NE (Mon-Fri) Atlanta, GA 30322 Atlanta, GA 30342 975 Johnson Ferry Road, Suite 340 Atlanta, GA 30042 Service: Epilepsy Center Specialty clinics: epilepsy, infantile Hughes Spalding hospital (Wed p.m.) Center for Advanced Pediatrics spasms, ketogenic diet, new-onset 35 Jesse Hill Jr. Drive SE (Mon-Fri) seizure, vagus nerve stimulation Atlanta, GA 30303 1400 Tullie Road NE, Fourth Floor Drs. Al-Ramadhani, Elkay, Zhang Multiple physicians Atlanta, GA 30329 Athens–St. Mary’s Specialty clinics: cerebrovascular disorders, (4th Tue and 2nd Wed) Children’s at Forsyth (1st, 3rd and 5th Thu) complex headache, concussion, cerebral On the St. Mary’s Hospital campus In The Collection at Forsyth palsy, developmental neurology, epilepsy, 1230 Baxter St. epilepsy surgery, infantile spasms, ketogenic 140 Peachtree Parkway, Suite 300 Athens, GA 30606 Cumming, GA 30041 diet, leukodystrophy, movement disorder, Dr. Weissman Dr. Keller neonatal, neuroimmunology, neuro metabolic, new-onset seizure Drs. Bhalla, Dutt, Eksioglu, Forte, Gedela, Gombolay, Hallman-Cooper, Holt, Keller, Kheder, Malik, Ortolani, Philbrook, Tutmaher, Upadhyayula, Verma, Weissman, Wolf, Zhang

Physicians: Ruba Al-Ramadhani, MD Muruvet Elkay, MD Grace Gombolay, MD Assistant Professor, Assistant Professor, Assistant Professor, Emory University School Emory University School Emory University School of Medicine of Medicine of Medicine Interests: Interests: neonatal neuroimmunology, multiple EEG, neonatal seizures, sclerosis, neuromyelitis Sonam Bhalla, MD childhood epilepsy optica, clinically isolated syndrome, Assistant Professor, syndromes, epilepsy transverse myelitis, Emory University School surgery, treatment acute disseminated of Medicine options for medically encephalomyelitis (ADEM), difficult-to-treat epilepsy anti-NMDA receptor encephalitis

Monideep Dutt, MD Jasmine Forte, MD Jamika Hallman-Cooper, Assistant Professor, Assistant Professor, MD Emory University School Emory University School Assistant Professor, of Medicine of Medicine Emory University School Interests: general Interests: general of Medicine pediatric neurology, pediatric neurology, Interests: cerebral palsy, pediatric stroke, neonatal neurology migraines, concussion, idiopathic intracranial Botox, general pediatric hypertension, sports neurology Yaman Eksioglu, MD, PhD neurology, tension-type Director, Comprehensive Philip Holt, MD headaches Epilepsy Center Medical Director, Intraoperative Associate Professor, Satyanarayana Gedela, Neuromonitoring Emory University School MD Assistant Professor, of Medicine Chief, Neurology Emory University School Interests: surgical epilepsy, Practice Director, of Medicine intractable epilepsy Children’s Physician Interests: childhood syndromes, cortical Group–Neurology epilepsy, ketogenic diet therapy, intraoperative malformations of cerebral Associate Professor, and intensive care, Emory University School cortex, tuberous sclerosis general pediatric complex, genetic epilepsy of Medicine neurology, autonomic syndromes, epileptic Interests: epilepsy, seizures disorders encephalopathies 29 NEUROLOGY (CONTINUED)

Stephanie Keller, MD Bryan Philbrook, MD Barbara Weissman, MD Associate Professor, Medical Director, Medical Director, Emory University School Cerebrovascular Services Neurology Quality of Medicine Assistant Professor, Associate Professor, Interests: neurogenetic Emory University School Emory University School of Medicine and neurometabolic of Medicine disorders, Interests: stroke, Interests: leukodystrophies, neurocritical care, epilepsy, demyelinating diseases, EEG, evoked potential neurorehabilitation, general pediatric studies cerebral palsy, traumatic neurology brain injury, concussion, Saila Upadhyayula, MD, general pediatric Emily Kern-Smith, MD MPH neurology Assistant Professor, Assistant Professor, David Wolf, MD, PhD Emory University School Emory University School Assistant Professor, of Medicine of Medicine Interests: pediatric Emory University School neuromuscular disorders, of Medicine Ammar Kheder, MD EMG and nerve Interests: neuro-oncology, Medical Director, Epilepsy conduction studies, neurofibromatosis Type 1, muscular dystrophy, Surgery and Stereo EEG neurocutaneous disorders, general pediatric Assistant Professor, Emory tuberous sclerosis, general University School of neurology pediatric neurology Medicine Sumit Verma, MD Interests: epilepsy, Guojun Zhang, MD epilepsy surgery, EEG, first Medical Director, Assistant Professor, seizure evaluation Neuromuscular Assistant Professor, Emory University School Manisha Malik, MD Emory University School of Medicine Assistant Professor, Emory of Medicine University School of Interests: pediatric Medicine neuromuscular Interests: hypersomnia, disorders, EMG and New physician: circadian rhythm disorders, EEG, myasthenia gravis, Michelle Tutmaher, DO insomnia muscular dystrophy, Assistant Professor, general pediatric Emory University School Elissa Ortolani, MD neurology of Medicine Assistant Professor, Emory University School of Medicine

NEUROPHYSIOLOGY

Children’s Physician Group 404-785-2046 404-785-2204

Center for Advanced Pediatrics Egleston hospital 1400 Tullie Road NE, Fourth Floor 1405 Clifton Road NE Atlanta, GA 30329 Atlanta, GA 30322 Services: EEG, EMG Scottish Rite hospital A department of Scottish Rite hospital 1001 Johnson Ferry Road NE Atlanta, GA 30342

30 NEUROPSYCHOLOGY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) Medical Office Building at Scottish 1400 Tullie Road NE, Fourth Floor Rite hospital (Mon-Fri) Atlanta, GA 30329 5461 Meridian Mark Road NE, Suite 180 Atlanta, GA 30342 Drs. Alexander, Bearden, Gerst, Ilardi, Marcus, Drs. Blackwell, Burns, Fournier- McManus Lee, O’Toole, Wright Goodnight, Fritz, Howarth, Kiefel, Ono, Quinoy, Schoffner

Physicians: Nneka Morris Elyssa Gerst, PhD David Marcus, PhD, Alexander, PhD, ABPP Interests: cognitive ABPP Pediatric Psychologist development in children Interests: genetics, Interests: teacher with complex medical metabolic conditions, perceptions of social histories, impact of neurofibromatosis, functioning in children congenital or acquired epilepsy, spina bifida with surgically corrected neurological disorders congenital heart disease, on neuropsychological Kim Ono, PhD, ABPP self-talk interventions in functioning Interests: brain tumors, sport and exercise concussion, epilepsy, Robyn Howarth, PhD, neuroimaging, traumatic Donald Bearden, PhD ABPP brain injury Interests: association Interests: anti-NMDA between pain and receptor encephalitis, neuropsychological disorders of Kathleen O’Toole, PhD, function in children, consciousness, ABPP complex neurological assessment of Interests: acquired disorders, epilepsy, neurocognitive status brain injury, cognitive sickle cell disease and functional outomes remediation, epilepsy, during inpatient comorbid disorders, Laura Blackwell, PhD, reahabilitation, remediation of school- ABPP neurocognitive recovery based problems Interests: acquired brain following acquired brain injury, chronic pain, injury, traumatic brain Alexis Quinoy, PhD concussion, pediatric injury, brain tumors Pediatric Psychologist neuropsychology, Interests: anxiety-related traumatic brain injury Dawn Ilardi, PhD, disorders, chronic illness ABPP and pain, cognitive Thomas Burns, PsyD, Interests: atypical behavioral therapy, ABPP neurological rehabilitation Interests: acquired brain development, injury, cerebral palsy, cerebrovascular injury/ Kindell Schoffner, PsyD concussion, epilepsy, disease, transition of Pediatric Psychologist neuroimaging care for special needs Interests: chronic illness teens and pain, coping skills, rehabilitation, acquired/ Ashley Fournier- Jacqueline Kiefel, PhD traumatic brain injury, Goodnight, PhD, NCSP, Interests: concussion, treatment of anxiety and ABPP Duchenne muscular depression Interests: acute acquired/ dystrophy, neurofibromatosis, spina traumatic brain injury, Laura Wright, PhD early childhood bifida, traumatic brain assessment/intervention, injury Pediatric Psychologist posterior fossa syndrome, Interests: pain school re-entry Susan McManus Lee, assessment and PhD, ABPP treatment, chronic pain, Cortney Fritz, PhD Interests: brain injuries, promotion of resilience acute assessment and and adaptation among Interests: inpatient and intervention following youth who experience day rehabilitation, brain injury or illness, pain mild to moderate/ encephalitis, prematurity severe traumatic and perinatal brain injury, disorders complications of consciousness, pediatric cancer and stroke, evidence-based cognitive rehabilitation interventions 31 NEUROSURGERY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Medical Office Building at Scottish Rite Scottish Rite hospital Columbus (Wed) hospital (Mon-Fri) 1001 Johnson Ferry Road NE In Regional Pediatric Center 5461 Meridian Mark Road NE, Suite 520 Atlanta, GA 30342 705 17th St., Suite 406 Atlanta, GA 30342 Services: epilepsy, surgery Columbus, GA 31901 All physicians Dr. Boydston Athens (Tue) Egleston hospital 1500 Oglethorpe Ave. Thomasville 1405 Clifton Road NE Building 600EF In Archbold Medical Center Specialty Clinic Atlanta, GA 30322 Athens, GA 30606 100 Mimosa Drive Services: epilepsy, surgery Dr. Boydston Thomasville, GA 31792 Dr. Boydston

Physicians: William Boydston, MD, Joshua Chern, MD, PhD Michael Sawvel, DO PhD Director, Epilepsy Surgery Member, OR Committee Chief, Neurosurgical Medical Director, Interests: brain and Services Quality Initiatives for spinal cord tumors, spina Co-Chief, Brain Health Neurosciences bifida, epilepsy surgery, Center Interests: Chiari hydrocephalus, Chiari Interests: brain tumors, malformations, cranial malformations, vascular craniosynostosis, and spinal cord tumors, malformations hydrocephalus, spasticity, epilepsy surgery, spinal tumors hydrocephalus David Wrubel, MD Surgery Director, Barun Brahma, MD Andrew Reisner, MD Egleston Hospital Medical Director, Neuro Medical Director, Neuro Fellowship/Residency Spine Care Trauma and Concussion Director, Neurosurgery Interests: brain tumors, Interests: brain tumors, Interests: brain tumors, Chiari malformations, concussions, Gamma Chiari malformations, hyperhidrosis, minimally knife radiosurgery, spine surgery, vascular invasive spine surgery hydrocephalus, pituitary diseases, spinal disorders and tumors dysraphism

ORTHOPAEDICS AND SPORTS MEDICINE Children’s Physician Group 404-255-1933 404-943-8066

Center for Advanced Pediatrics (Mon-Fri) Children’s at Cherokee (Mon-Fri) Children’s at Fayette (Mon-Fri) 1400 Tullie Road NE, Second Floor 1558 Riverstone Parkway, Suite 100 In Piedmont Fayette Hospital Atlanta, GA 30329 Canton, GA 30114 1265 Highway 54 West, Suite 200 Drs. Bruce, Fletcher, McLaughlin, Murphy, Drs. Schrader, Scurfield Fayetteville, GA 30214 Olszewski, Perkins Drs. McLaughlin, Miller, Murphy, Children’s at Duluth (Mon-Fri) Schmitz Children’s at Meridian Mark (Mon-Fri) 2270 Duluth Highway 120, Suite 100 5445 Meridian Mark Road, Duluth, GA 30097 Children’s at Forsyth (Mon-Fri) Suite 250 Drs. Devito, Fabregas, Montero, In The Collection at Forsyth Atlanta, GA 30342 Schrader, Willimon 410 Peachtree Parkway, Suite 300 Drs. Axelrod, Busch, Devito, Fabregas, Cumming, GA 30041 Flanagan, Kroll, Montero, Murphy, Olszewski, Drs. Azerf, Busch, Schmitz Schmitz, Schrader, Willimon

32 ORTHOPAEDICS AND SPORTS MEDICINE (CONTINUED)

Children’s at Hamilton Mill Children’s at Town Center Outpatient Buford (Mon, Wed, Fri) (Mon-Fri) Care Center (Mon-Fri) 2914 Vinson Court 2069 Teron Trace 605 Big Shanty Road NW Buford, GA 30518 Dacula, GA 30019 Kennesaw, GA 30144 Dr. Azerf Drs. Fabregas, Fletcher Drs. Axelrod, Devito, Flanagan, Perkins, Schrader, Scurfield Macon (Tue) Children’s at Hudson Bridge In Piedmont Orthopaedic Complex (Mon-Fri) Athens (Mon-Fri) 4660 Riverside Park Blvd. In the Hudson Bridge Crossing In Three Sixteen Professional Quarter Macon, GA 31210 shopping center 1181 Langford Drive, Building 200, Drs. Bruce, Fletcher 1492 Hudson Bridge Road Suite 101 Stockbridge, GA 30281 Watkinsville, GA 30677 Villa Rica (2nd and 4th Wed) Drs. Brouillette, Murphy, Olszewski, Perkins Drs. Azerf, Devito, Flanagan, Willimon In Tanner Medical Center 705 Dallas Highway, Suite 301 Children’s at Old Milton Parkway (Mon-Fri) Villa Rica, GA 30180 3300 Old Milton Parkway, Suite 310 Dr. Fabregas Alpharetta, GA 30005 Drs. Busch, Devito, McLaughlin, Montero, Olszewski, Schmitz

Orthopaedic surgeons: Jed Axelrod, MD Jorge Fabregas, MD Joshua Murphy, MD Interests: foot and ankle Interests: scolosis and Interests: orthopaedic disorders, Blount’s spinal deformities, trauma, complex disease, spinal deformity, musculoskeletal tumors, spine deformities, disk spina bifida orthopaedic trauma, disease, spondylolysis, cerebral palsy neuromuscluar disease

Robert Bruce Jr., MD Jill Flanagan, MD Dana Olszewski, MD, Medical Director, Interests: osteogenesis MPH Neuromuscular Program imperfecta and bone Interests: complex Interests: complex spinal health, reconstruction of hip problems, hip deformities, early onset complex limb deformity, dysplasia, spina bifida, scoliosis, cerebral palsy limb lengthening and foot and ankle, general reconstruction orthopaedics Michael Busch, MD Surgical Director, Sports Nicholas Fletcher, MD Crystal Perkins, MD Medicine Medical Director, Spine Medical Director, Interests: sports injuries, Quality and Outcomes Orthopaedic Quality and arthroscopic surgery, ACL Interests: complex spinal Outcomes injuries, osteochondritis deformities,early onset Interests: complex disease scoliosis, spina bifida, knee reconstruction, complex hip problems, patellar instability, hip Dennis Devito, MD hip dysplasia arthroscopy, sports Medical Director, Spine injuries Interests: scoliosis and Dell McLaughlin, MD spinal deformities, Interests: musculoskeletal Michael Schmitz, MD spondylolysis, tumors, complex limb Chief, Orthopaedics degenerative disk reconstruction, general Interests: complex disease orthopaedic conditions spinal deformities, early onset scoliosis, limb deficiency, cerebral palsy, orthopaedic trauma

33 ORTHOPAEDICS AND SPORTS MEDICINE (CONTINUED)

Tim Schrader, MD Robert Montero, MD Armand Scurfield, MD Medical Director, Hip Interests: Ponseti Interests: nonoperative Interests: complex hip casting for clubfoot, gait musculoskeletal problems, dysplasia, abnormalities, intoeing, conditions, sports femoral-acetabular bow legs, knock knees, injuries, overuse injuries impingement, surgical cerebral palsy and team sports, dislocation of hip, hip concussion management sports injuries Sports medicine physicians: New physician: Ashley Brouillette, MD S. Clifton Willimon, MD Stephen Miller, MD Interests: nonoperative Interests: arthroscopic Sports medicine musculoskeletal surgery of the hip, physician complex knee ligament conditions, sports Interests: musculoskeletal reconstruction, shoulder injuries, overuse injuries conditions, sports dislocation, sports and team sports, injuries, overuse injuries injuries concussion management and team sports, Orthopaedists: J. Stephen Kroll, MD concussion management Saji Azerf, MD Interests: nonoperative Interests: nonoperative musculoskeletal musculoskeletal conditions, sports conditions, clubfoot, injuries, overuse injuries fracture care and team sports, concussion management

Hand and Upper Extremity Program 404-785-HAND (4263)

We work closely with community orthopaedic and hand surgeons to help make sure complete, coordinated care is delivered seamlessly at our hospitals for children with conditions of the hands, arms, wrists and shoulders. We also collaborate on research and quality initiatives.

Hip Program 404-255-1933

Our pediatric orthopaedic surgeons help make sure that complete, coordinated care is delivered seamlessly at our hospitals for children with hip conditions. We also collaborate on research and quality initiatives.

Scoliosis Screening Program 404-255-1933 404-785-7576

Scoliosis screenings are conducted at our Children’s Physician Group–Orthopaedics and Sports Medicine practice locations. Refer to pages 32 and 33 for a complete listing of all locations. By appointment only.

Spine Program 404-255-1933

Our orthopaedic surgeons help make sure that complete care is delivered seamlessly at our hospitals for children with spine conditions. Our dedicated spine liaison, reachable at the above number, coordinates the patient experience by helping make sure families have the information and resources they need before, during and after care. Additionally, the program’s spine second opinion document review service allows patients to have their medical records and imaging reviewed and assessed by our spine leadership team.

Sports physical therapy

Our services are available at several neighborhood locations throughout metro Atlanta. These locations are departments of Children’s at Scottish Rite hospital. Visit choa.org/sportsmed for addresses and directions.

• Alpharetta: 404-785-8570 • Cumming: 404-785-3090 • Smyrna: 404-785-4271 • Atlanta (Meridian Mark): 404-785-5699 • Duluth: 404-785-8387 • Snellville: 404-785-8081 • Atlanta (North Druid Hills): 404-785-8421 • Fayetteville: 404-785-8790 • Stockbridge: 404-785-4163 • Canton: 404-785-4268 • Kennesaw: 404-785-8008

34 ORTHOTICS AND PROSTHETICS 404-785-3229 404-785-5690 Our services are available at several neighborhood locations throughout metro Atlanta. The appointment scheduler can assist families in finding the most convenient option.

Cranial Remolding Program 404-785-3229

Limb Deficiency Program 404-785-5684

Services offered: • Adaptive sports • Limb lengthening surgery • Rehabilitation • Intelligent hand • Prosthetics design • Silicone restoration

OTOLARYNGOLOGY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) Children’s at Hudson Bridge Children’s at Town Center 1400 Tullie Road NE, First Floor (Mon-Thu) Outpatient Care Center Atlanta, GA 30329 In the Hudson Bridge Crossing (Mon, Thu, Fri) shopping center 605 Big Shanty Road NW Drs. Alfonso, Brown, Evans, Goudy, Govil, 1494 Hudson Bridge Road Landry, Prickett, Raol Stockbridge, GA 30281 Kennesaw, GA 30144 Children’s at Fayette (Tue, Thu) Drs. Evans, Landry, Raol Dr. Alfonso In Piedmont Fayette Hospital Children’s at Satellite Boulevard 1265 Highway 54 West, Suite 200 (Mon, Tue, Fri) Fayetteville, GA 30214 2660 Satellite Blvd. Duluth, GA 30096 Drs. Evans, Govil Drs. Brown, Prickett

Physicians: Sean Evans, MD Nandini Govil, MD Assistant Professor, Assistant Professor, Kristan Alfonso, MD Emory University School Emory University School Assistant Professor, of Medicine of Medicine Emory University School Interests: cochlear of Medicine Interests: general implants, congenital and Interests: sensorineural pediatric otolaryngology, acquired hearing loss, and conductive head and neck masses, sinusitis hearing loss, cochlear congenital deformities, April Landry, MD implants, chronic ear diseases of the sinuses and nose, airway Assistant Professor, disease, external ear Emory University School abnormalities, nasal and abnormalities, speech of Medicine difficulties, ear infections sinus disease, salivary Interest: airway disorders gland disease, airway and disease disorders, head and neck masses Steven Goudy, MD Kara Prickett, MD Medical Director, Assistant Professor, Emory University School Clarice Brown, MD Otolaryngology of Medicine Associate Professor, Assistant Professor, Interests: airway Emory University School Emory University School reconstruction, head and of Medicine of Medicine neck masses, hearing Interests: general Interests: maxillary loss, cochlear implants, pediatric otolaryngology, development, Pierre thyroid disease head and neck masses, Robin sequence, Nikhila Raol, MD, MPH sinonasal disease, vascular malformations, Assistant Professor, obstructive sleep apnea, velopharyngeal Emory University School dysphagia insufficiency of Medicine Interests: voice disorders, sleep disorders

Hearing loss and cochlear implant 404-785-7174 404-785-7113

Our services are available at several neighborhood locations throughout metro Atlanta. The appointment scheduler can assist families in finding the most convenient option. These locations are departments of Children’s at Scottish Rite hospital. 35 PAIN RELIEF 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics Judson L. Hawk Jr., MD, Clinic for Children 1400 Tullie Road NE, Sixth Floor Atlanta, GA 30329

A department of Children’s at Scottish Rite hospital

PHYSIATRY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Tue, Wed, Fri) 1400 Tullie Road NE, Sixth Floor Atlanta, GA 30329

Physicians: Laura Jones, MD Elizabeth Poplawski, DO

Udayan Kulkarni, MD Joshua Vova, MD, FAAP, FAAPMR Medical Director, Rehabilitation

PLASTIC SURGERY AND CRANIOFACIAL

Children’s Physician Group 404-785-7792 404-785-7806

Northside Professional Center 975 Johnson Ferry Road, Suite 100 Atlanta, GA 30042 All physicians

Plastic surgeons: Colin Brady, MD Magdalena Soldanska, Joseph Williams, MD, Interests: congenital MD FACS, FAAP facial reanimation, Interests: cleft lip and Medical Director, Center cleft lip and palate, palate, craniosynostosis, for Cleft and Craniofacial craniosynostosis, ear reconstruction, facial Disorders orthognathic surgery fractures, orthognathic Chief, surgery Director, Clinical Research Interests: cleft lip and palate, craniofacial anomalies, dentofacial anomalies, hemangiomas, perinatal consultations

36 PLASTIC SURGERY AND CRANIOFACIAL (CONTINUED)

Center for Cleft and Craniofacial Disorders 404-785-DOCS (3627) 404-785-9111

Medical Office Building Our team provides dentistry services (by physician referral only) to children at Scottish Rite hospital with medical conditions, including craniofacial disorders, cancer, heart 5461 Meridian Mark Road NE, Suite 200 problems and neurological conditions (excluding seizure disorders and Atlanta, GA 30342 autism), as well as children who have undergone solid organ transplants. Clinics: craniofacial feeding, speech Orthodontic services are offered only to children with craniofacial disorders.

A department of Children’s at Scottish Rite hospital

Plastic surgeons: Nikky Shotwell, DDS Orthodontists: See Page 36. Nelson Allen, DDS

Dentists: Sharon Hill, DDS, MS

Jack Thomas, DDS Ambre Kragor, DDS

Michael Minyard, DMD, MPH Karen Uston, DDS Alpesh Patel, DMD

JC Shirley, DMD, MD Director, Pediatric Dentistry Brittany Waters, DDS

PULMONOLOGY

404-785-DOCS (3627) 404-785-9111 Children’s Physician Group (Egleston-based) (Egleston-based)

404-785-0588 404-785-0596 Children’s Physician Group (Scottish Rite-based) (Scottish Rite-based)

Center for Advanced Pediatrics (Mon-Fri) Children’s at Mount Vernon Highway Children’s at Old Milton Parkway 1400 Tullie Road NE, Fifth Floor (Mon-Fri) 3300 Old Milton Parkway, Suite 300 Atlanta, GA 30329 859 Mount Vernon Highway NE, Alpharetta, GA 30005 Suite 300 Clinics: aerodigestive, high-risk asthma, Clinics: high-risk asthma, Atlanta, GA 30328 primary ciliary dyskinesia, pulmonology, pulmonology, severe asthma Synagis, technology-dependent Clinics: high-risk asthma, pulmonology, biologic injections, Synagis severe asthma biologic injections, Egleston-based physicians, All Scottish Rite-based providers Synagis Scottish Rite-based physicians (technology-dependent only) All Scottish Rite-based physicians

37 PULMONOLOGY (CONTINUED)

Children’s at Town Center Outpatient Care Hughes Spalding hospital (Thu) Athens (Tue) Center (Mon-Thu) 35 Jesse Hill Jr. Drive SE, 1500 Oglethorpe Ave., Suite 600E 605 Big Shanty Road NW, Second Floor Second Floor Athens, GA 30606 Atlanta, GA 30303 Kennesaw, GA 30144 Clinic: pulmonology Clinics: high-risk asthma, pulmonology, Clinics: high-risk asthma, pulmonology Drs. Dias, Hazen, Kirchner, Lesnick, sickle cell disease Popler Drs. Brooks, Cilloniz, Hazen, Kim, Kirchner, Drs. Brooks, Hazen, Lang, Popler Lesnick, Sedor, Shahrour

Egleston-based physicians: Devon Greene, MD, Samar Shah, MD Rafael Cilloniz, MD MPH Assistant Professor, Interests: asthma, Assistant Professor, Emory University School airway anomalies, Emory University School of Medicine bronchoscopies, of Medicine Interests: apnea, general exercise physiology, Interests: asthma, exercise-related general pulmonology, pulmonology, high-risk respiratory problems primary ciliary asthma dyskinesia, sickle cell disease Sheel Shah, MD Allan Dias, MD Assistant Professor, Medical Director, Lokesh Guglani, MD Emory University School Children’s Physician Assistant Professor, of Medicine Group–Pulmonology at Emory University School Interests: pulmonary Scottish Rite of Medicine hypertension, asthma Interests: asthma, Interests: chest imaging, primary ciliary cystic fibrosis, lung dyskinesia, cystic function assessment, Dawn Simon, MD fibrosis, tracheostomy/ pulmonary hypertension, Medical Director, technology dependent Pulmonology, Egleston chronic ventilated Medical Director, patients, aerodigestive, Ajay Kasi, MD Aerodigestive Center bronchoscopy Assistant Professor, Associate Professor, Emory University School Emory University School Matthew Hazen, MD of Medicine of Medicine Director, Asthma Center Interests: congenital at Hughes Spalding central hypoventilation Interests: aerodigestive disorders, pulmonary Interests: asthma, chronic syndrome, cystic fibrosis, respiratory failure, cystic diaphragm pacing, home hypertension fibrosis, interstitial mechanical ventilation Snehal Vala, MD lung disease, newborn Rachel Linnemann, MD Assistant Professor, pulmonary diseases Director, Cystic Fibrosis Emory University School Center of Medicine Sophia Kim, MD Co-Director, Pediatric Medical Director, Sleep Cystic Fibrosis Program Center Assistant Professor, Emory University School Interests: obstructive sleep apnea, insomnia, of Medicine Scottish Rite-based physicians: Interests: aerodigestive circadian rhythm Ann-Marie Brooks, MD, disorders, asthma, cystic disorders fibrosis FAAP Interests: asthma, Kevin Kirchner, MD Eric Price, MD neuromuscular disease, Co-Director, Pediatric Assistant Professor, sickle cell disease Cystic Fibrosis Program Emory University School Interests: cystic fibrosis, of Medicine asthma, congenital lung Interests: asthma, chronic abnormalities cough, neuromuscular, tracheostomy and ventilator

38 PULMONOLOGY (CONTINUED)

LaTresa Lang, MD Jonathan Popler, MD Julie Sedor, MD Interests: asthma, cystic Director, Inpatient Interests: aerodigestive fibrosis, sickle cell Pulmonary at Scottish disorders, asthma, disease, technology Rite bronchoscopy, ciliary dependent Interests: aerodigestive dyskinesia, newborn disorders, interstitial lung diseases, cystic lung disease, sickle cell fibrosis lung disease, primary Burt Lesnick, MD, FAAP ciliary dyskinesia, Haitham Shahrour, MD Interests: asthma, lung tracheostomy/chronic Interests: asthma, cystic disease of prematurity, ventilated patients fibrosis, technology rare lung diseases, dependent respiratory issues in Brandon Seay, MD special needs children Interests: cystic fibrosis, asthma, sleep apnea

RADIOLOGY

Egleston hospital Children’s at Forsyth* Children’s at Town Center* 1405 Clifton Road NE In The Collection at Forsyth 625 Big Shanty Road NW Atlanta, GA 30322 410 Peachtree Parkway, Suite 300 Kennesaw, GA 30144 404-785-6078 Cumming, GA 30041 404-785-XRAY (9729) Services: CT scan, DEXA, , 404-785-3036 Services: CT scan, fluoroscopy, MRI, interventional radiology, MRI, nuclear Service: X-ray medicine, PET, sedation, ultrasound, X-ray sedation, ultrasound, X-ray Children’s at Hudson Bridge* Hughes Spalding hospital In the Hudson Bridge Crossing Children’s at Webb Bridge* 35 Jesse Hill Jr. Drive SE shopping center 3155 North Point Parkway, Atlanta, GA 30303 1510 Hudson Bridge Road Building A, Suite 150 404-785-9988 Stockbridge, GA 30281 Alpharetta, GA 30005 Services: CT scan, fluoroscopy, ultrasound, X-ray 404-785-8739 404-785-XRAY (9729) Service: X-ray Scottish Rite hospital Services: CT scan, fluoroscopy, MRI, 1001 Johnson Ferry Road NE Children’s at Satellite Boulevard* sedation, ultrasound, X-ray Atlanta, GA 30342 2660 Satellite Blvd. 404-785-2787 Duluth, GA 30096 *A department of Children’s at Scottish Services: CT scan, DEXA, fluoroscopy, 404-785-XRAY (9729) Rite hospital interventional radiology, MRI, nuclear Services: X-ray and ultrasound medicine, sedation, ultrasound, X-ray

Interventional radiology 404-785-DOCS (3627) 404-785-9111

See Page 27 for a list of physicians and locations.

REHABILITATION Inpatient rehabilitation 404-785-2274

Scottish Rite hospital 1001 Johnson Ferry Road NE Atlanta, GA 30342

Day rehabilitation 404-785-3300

993-F Building Across the street from Scottish Rite hospital 993-F Johnson Ferry Road NE, Suite 260 Atlanta, GA 30342 A department of Children’s at Scottish Rite hospital 39 REHABILITATION (CONTINUED)

Outpatient rehabilitation 404-785-7100 404-785-7113

Outpatient rehabilitation services include audiology, occupational therapy, physical therapy, and speech and language therapy.

Children’s at North Druid Hills Children’s at Town Center Outpatient Medical Office Building 1605 Chantilly Drive NE Care Center at Scottish Rite hospital Atlanta, GA 30324 605 Big Shanty Road NW 5461 Meridian Mark Road NE Kennesaw, GA 30144 Atlanta, GA 30342

These locations are departments of Children’s at Scottish Rite hospital

Physiatry 404-785-DOCS (3627) 404-785-9111

See Page 36 for a list of physicians and locations.

RHEUMATOLOGY

Children’s Physician Group 404-785-DOCS (3627) 404-785-9111

Center for Advanced Pediatrics (Mon-Fri) Children’s at North Point (Mon, Tue) Children’s at Town Center 1400 Tullie Road NE, Second Floor 3795 Mansell Road Outpatient Care Center Atlanta, GA 30329 Alpharetta, GA 30022 (Mon, Tue) Drs. Prahalad, Rouster-Stevens, Thakral All physicians 605 Big Shanty Road NW Children’s at Satellite Boulevard Kennesaw, GA 30144 (Mon, Tue, Fri) Dr. Taneja 2660 Satellite Blvd. Duluth, GA 30096 Drs. Goldberg, Rouster-Stevens, Thakral

Physicians: Elaine Flanagan, MD Cynthia Manos, MD, Angela Taneja, MD, Assistant Professor, MSCE RhMSUS Emory University School Assistant Professor, Assistant Professor, of Medicine Emory University School Emory University School of Medicine Interests: intra-articular of Medicine Interests: chronic corticosteroid injections, Interests: nonbacterial juvenile idiopathic autoinflammatory osteomyelitis, juvenile arthritis, juvenile diseases, juvenile idiopathic arthritis, dermatomyositis, idiopathic arthritis, musculoskeletal musculoskeletal autoimmune diseases ultrasound ultrasound, systemic lupus erythematosus Sampath Prahalad, MD Amit Thakral, MD, MBA MSc Assistant Professor, Baruch Goldberg, MD Marcus Professor Emory University School Assistant Professor, and Chief, Pediatric of Medicine Emory University School Rheumatology Interests: autoimmune of Medicine Professor, Emory University conditions, rheumatic School of Medicine Interests: uveitis, diseases Interests: juvenile idiopathic macrophage activation arthritis, systemic lupus syndrome, systemic erythematosus juvenile idiopathic arthritis, lupus, juvenile Kelly Rouster-Stevens, arthritis MD, MS Associate Professor, Emory University School of Medicine Interest: rheumatic 40 diseases SLEEP

404-785-DOCS (3627) 404-785-9111 Children’s Physician Group (Egleston-based) (Egleston-based)

404-785-0588 404-785-0596 Children’s Physician Group (Scottish Rite-based) (Scottish Rite-based)

Center for Advanced Pediatrics (Mon-Fri) Children’s at Old Milton Parkway Marcus Autism Center 1400 Tullie Road NE, Fifth Floor 3300 Old Milton Parkway, Suite 300 1920 Briarcliff Road Atlanta, GA 30329 Alpharetta, GA 30005 Atlanta, GA 30329 Egleston-based providers Drs. Kim, Seay Dr. Leu Children’s at Mount Vernon Highway Children’s at Town Center (Mon-Fri) Outpatient Care Center 859 Mount Vernon Highway NE, Suite 300 (Mon or Tue once per month) Atlanta, GA 30328 605 Big Shanty Road NW, Second Floor Drs. Kim, Seay Kennesaw, GA 30144 Dr. Kim

Egleston-based physicians: Scottish Rite-based physicians: Kelli-Lee Harford, PhD Manisha Malik, MD Sophia Kim, MD Sleep Psychologist Assistant Professor, Medical Director, Sleep Assistant Professor, Emory University School Center Emory University School of Medicine Interests: obstructive of Medicine Interests: hypersomnia, sleep apnea, insomnia, Interests: psychology, circadian rhythm circadian rhythm disorders, insomnia disorders

Roberta Leu, MD Daniel Torrez, MD Brandon Seay, MD Medical Director, Sleep Assistant Professor, Interests: insomnia, sleep Center at Egleston Emory University School apnea Assistant Professor, of Medicine Emory University School Interests: narcolepsy, of Medicine obstructive sleep apnea, Interests: circadian restless leg syndrome rhythm disorders, hypersomnia, insomnia, obstructive sleep apnea, parasomnia

Sleep labs (overnight sleep studies) 404-785-2974

Egleston hospital Scottish Rite hospital Children’s at Satellite Boulevard 1405 Clifton Road NE 1001 Johnson Ferry Road NE 2660 Satellite Blvd. Atlanta, GA 30322 Atlanta, GA 30342 Duluth, GA 30096 A department of Children’s at Scottish Rite hospital

41 SPECIALTY CLINICS Judson L. Hawk Jr., MD, Clinic 404-785-DOCS (3627) 404-785-9111 for Children

Center for Advanced Pediatrics • 22q Deletion • Neuro Spine 1400 Tullie Road NE, Sixth Floor • Aerodigestive • Pain Relief Atlanta, GA 30329 • Cerebral Palsy • Pelvic and Anorectal

A department of Children’s at Scottish Rite hospital • Differences of Sexual Development • Spasticity • Genetics • Spina Bifida • Medically Complex • Strong4Life • Muscular Dystrophy • Tuberous Sclerosis • Neurofibromatosis • Vascular Anomalies • Neurogastroenterology and Motility

Feeding 404-785-9343 404-785-9041

Center for Advanced Pediatrics (Mon-Fri) Children’s at Forsyth Marcus Autism Center (Mon-Fri) 1400 Tullie Road NE, Third Floor In the Collection at Forsyth 1920 Briarcliff Road Atlanta, GA 30329 410 Peachtree Parkway, Suite 300 Atlanta, GA 30329 Cumming, GA 30041

SURGERY

Surgery centers

Egleston hospital Children’s at Meridian Mark Children’s at Satellite Boulevard 1405 Clifton Road NE Surgery Center Outpatient Surgery Center Atlanta, GA 30322 5445 Meridian Mark Road NE 2620 Satellite Blvd. Atlanta, GA 30342 Duluth, GA 30096 Scottish Rite hospital 1001 Johnson Ferry Road NE The Surgery Center at Meridian Mark Plaza A department of Children’s at LLC is an affiliate of Children’s Healthcare of Atlanta, GA 30342 Scottish Rite hospital Atlanta. It is a joint venture with Scottish Rite as the majority owner and physician investors as partners. Physicians and affiliated healthcare professionals who perform services at the Surgery Center at Meridian Mark Plaza LLC are independent providers and are not our employees.

42 800-605-6175 404-785-6000 TRANSPLANT (normal business hours) (nights, weekends, holidays)

Heart transplant 404-785-6395 404-785-1994

Egleston hospital Emory Children’s Center Building 1405 Clifton Road NE 2015 Uppergate Drive Atlanta, GA 30322 Atlanta, GA 30322 Clinics: pre- and post-transplant

Heart transplant surgeons: Paul Chai, MD Joshua Rosenblum, MD, Fawwaz Shaw, MD Chief, Cardiothoracic PhD Surgical Director, Heart Surgery Assistant Professor, Transplant Program Co-Chief, Cardiac Emory University School Assistant Professor, Services of Medicine Emory University School Associate Professor, of Medicine Emory University Subhadra Shashidharan, School of Medicine MD Assistant Professor, Kirk Kanter, MD Emory University School Professor, Emory University of Medicine School of Medicine

Kidney transplant 404-785-1405 404-785-6751

Egleston hospital Emory Children’s Center Building 1405 Clifton Road NE 2015 Uppergate Drive Atlanta, GA 30322 Atlanta, GA 30322 Clinics: pre- and post-transplant

Kidney transplant surgeons: Andrew Adams, MD, Kenneth Newell, MD, Thomas Pearson, MD, PhD PhD PhD Assistant Professor, Associate Professor, Emory University School Emory University School of Medicine of Medicine Professor, Emory Idelberto Badell, MD Paul Tso, MD University School of Assistant Professor, Associate Professor, Medicine Emory University School Emory University School of Medicine Ronald Parsons, MD of Medicine Assistant Professor, Christian Larsen, MD Emory University School Professor, of Medicine Emory University School of Medicine

43 Liver transplant 404-785-0150 404-785-9017

Egleston hospital Emory Children’s Center Building 1405 Clifton Road NE 2015 Uppergate Drive Atlanta, GA 30322 Atlanta, GA 30322 Clinics: pre- and post-transplant

Liver transplant surgeons: Andrew Adams, MD, Raymond Lynch, MD PhD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine

Denise Lo, MD, PhD Joseph Magliocca, MD Assistant Professor, Surgical Director, Liver Emory University School Transplant of Medicine Associate Professor, Emory University School of Medicine

44 Forms and Tools Forms and tools and Forms

Forms accessCHOA

Reminder: The fastest way to submit your order or referral is electronically, using accessCHOA.

AccessCHOA is the web-based interface for the Children’s electronic health record system. It can be used to place an order for outpatient diagnostics and rehabilitation as well as for referrals to Children’s Physician Group specialists*. To learn more, see Page 4 of this guide or go to the Tools section for a tip sheet on using accessCHOA.

If you are not connected to accessCHOA, some online referral forms and order forms can be submitted electronically at choa.org/md.

Our forms

Children’s Physician Group: • Provider referral form • Orthopaedics and sports medicine patient referral form • Rheumatology guidelines and referral form • Synagis enrollment form

Cardiac: • Pulmonary Hypertension Clinic referral form • Sibley Heart Center Cardiology referral form

Child advocacy: Stephanie V. Blank Center for Safe and Healthy Children request for services form Concussion: Downtime mild traumatic brain injury and concussion assessment criteria tool Lab: Outpatient requisition form Neurophysiology: EEG order form Radiology • Advanced pediatric imaging form • Interventional radiology form • Pediatric imaging form

Rehabilitation: Rehabilitation services order form Sleep: Sleep disorders lab order form Sports medicine: Order form

*This does not include the Stephanie V. Blank Center for Safe and Healthy Children or Sibley Heart Center Cardiology forms. These forms must be faxed.

45

Children’s Physician Group

Provider referral form

Complete this form and fax it to 404-785-9111. Use one form for each patient.

If the patient needs to be seen within the next week, call 404-785-DOCS (3627) and do not fill out this form.

□ Urgent □ Non-urgent ______Today’s date Patient's name: ______

______Patient's date of birth: ______Referral form completed by Patient’s gender: □ Male □ Female ______Direct contact phone number Parent/guardian's name: ______

______Cell phone: ______Email Alternate phone: ______Preferred method of communication for referring office Interpreter required: □ Yes □ No (choose one): □ Phone □ Email If yes, provide the language: ______

Referring provider’s name: ______

Office phone: ______

Office fax: ______

Referring provider’s status with patient: □ PCP □ Not PCP

PCP name: ______

PCP phone: ______

Reason for referral: ______

______

Specialty needed (choose one):

Allergy and immunology □ General surgery Specialty clinics

□ Allergy □ Gynecology □ 22q Deletion □ Immunology □ Aerodigestive □ Hematology/oncology □ Apnea □ Cerebral Palsy □ Infectious diseases □ Craniofacial □ Cardiology: pulmonary hypertension Nephrology □ Craniofacial Feeding □ Cardiothoracic surgery □ General nephrology □ Craniofacial Speech

□ Child advocacy □ Hypertension □ Developmental Progress □ Differences of Sexual Development □ □ Kidney transplant Craniofacial surgery □ Epilepsy/Ketogenic Diet Neurology □ Cystic fibrosis □ Genetics □ Developmental neurology □ Dentistry and orthodontics □ Medically Complex □ General neurology □ Muscular Dystrophy □ Diabetes □ Headache □ Neurofibromatosis □ Neurocutaneous Endocrinology □ Neurogastroenterology and Motility □ Neuromuscular □ Bone □ Neuro Spine □ General endocrinology □ New onset seizures □ Pain Relief □ Lipid □ Neuropsychology □ Pelvic and Anorectal (Colorectal) □ Transgender □ Neurosurgery □ Skeletal Dysplasia □ Turner syndrome □ Spasticity □ Orthopaedics and sports Gastroenterology and Hepatology □ Spina Bifida medicine Gastroenterology: □ Strong4Life □ Abdominal pain □ Otolaryngology □ Tuberous Sclerosis

□ Blood in stool □ Physiatry □ Vascular Anomalies

□ Celiac disease □ Plastic surgery □ Other □ Crohn’s and ulcerative colitis (IBD) Pulmonology □ Cystic fibrosis If other, specify: ______□ Pulmonology/asthma □ Eosinophilic (EoE) disorders □ Synagis □ Feeding issues, tube feeds ______□ Technology-dependent □ Pancreas disorders □ Poor weight gain, failure to thrive Rheumatology □ Reflux, heartburn, swallowing □ General rheumatology □ Stool issues (constipation, diarrhea) □ Juvenile idiopathic arthritis

□ Other □ Sleep

Hepatology: □ Abnormal liver test Indicate preferred provider and reason for preference, if applicable: □ Biliary atresia ______□ CF liver disease □ Cholestasis ______□ Direct hyperbilirubinemia □ Elevated or abnormal liver enzymes Fax relevant clinic notes, patient demographics and imaging/diagnostic □ Fontan tests to 404-785-9111. □ Hepatitis □ Jaundice Was the patient’s diagnostic testing (related to this referral) performed □ Liver transplant at Children’s? If yes, please do not fax these records. □ Obesity related liver disease (NAFLD) □ Yes □ No □ Other

Orthopaedics and Sports Medicine

Patient referral form

Appointments: Call 404-255-1933 Monday through Friday from 7 a.m. to 5 p.m. or visit choa.org/CPGortho 24/7.

Referral fax: 404-943-8066.

Reason for patient visit: ______□ Injury/fracture □ Spine/scoliosis □Limp □Hip pain Patient’s name □ Sports injury □ Club foot □Concussion □ Other

Provider (choose one): ______ORTHOPAEDIC SURGEONS Patient’s date of birth □ Jed Axelrod, MD □ Jill Flanagan, MD □ Crystal Perkins, MD □ Robert Bruce Jr, MD □ Nicholas Fletcher, MD □ Michael Schmitz, MD ______□ Michael Busch, MD □ Dell McLaughlin, MD □ Tim Schrader, MD Appointment date □ Dennis Devito, MD □ Joshua Murphy, MD □ S. Clifton Willimon, MD □ Jorge Fabregas, MD □ Dana Olszewski, MD ______Appointment time SPORTS MEDICINE PRIMARY CARE PHYSICIANS □ Ashley Brouillette, MD □ Stephen Miller, MD ______□ J. Stephen Kroll, MD □ Armand Scurfield, MD

ORTHOPAEDIST □ Robert Montero, MD □ Saji Azerf, MD Patient family checklist: □ Print and complete ADVANCED PRACTICE PROVIDERS AND ATHLETIC TRAINERS registration paperwork prior □ Jessica Beck, PA-C □ J. Brian Kelly, PA-C □ Christina Perez, AT-C to your child’s appointment to □ Charles Coppinger, PA-C □ David Kloehs, AT-C □ Tracy Ruska, CPNP □ Denise Coultes Beuret, FNP-C □ Nancy Kralovich, PA-C □ Karen Shaw, PA-C minimize the initial wait time. □ Sara Delk, PA-C □ Nicki Kress, PA-C □ Catalina Urbizo, PA-C □ Bring X-rays, if available. □ Stephanie de Jager, CPNP □ Keri Liles, PA-C □ Beth Walsh, AT-C □ Bring a specialist referral if □ Raven Giordano, AT-C □ Rebecca Lunsford, PA-C □ Kirsten Warnock, NP-C required by insurance. □ Grace Hall, PA-C □ Nicole Mayberry, PA-C □ Wallace Wilson, PA-C □ Veronica Hill, CPNP □ Joshua Myers, FNP-C

Location (choose one): □ Center for Advanced Pediatrics: 1400 Tullie Road NE, Second Floor, Atlanta, GA 30329 □ Children’s at Meridian Mark: 5445 Meridian Mark Road, Suite 250, Atlanta, GA 30342 □ Children’s at Old Milton: 3300 Old Milton Parkway, Suite 310, Alpharetta, GA 30005 □ Children’s at Forsyth: 410 Peachtree Parkway, Suite 300, Cumming, GA 30041 □ Children’s at Hamilton Mill: 2069 Teron Trace, Dacula, GA 30019 □ Children’s at Duluth: 2270 Duluth Highway 120, Suite 100, Duluth GA 30097 □ Children’s at Fayette: 1265 Highway 54 West, Suite 200, Fayetteville, GA 30214 □ Children’s at Town Center Outpatient Care Center: 605 Big Shanty Road NW, Kennesaw, GA 30144 □ Children’s at Hudson Bridge: 1492 Hudson Bridge Road, Stockbridge, GA 30281 □ Athens: Three Sixteen Professional Quarter, 1181 Langford Drive, Bldg. 200, Suite 101, Watkinsville, GA 30677 □ Buford: 2914 Vinson Court, Buford, GA 30518 □ Macon: 4660 Riverside Park Boulevard, Macon, GA 31210 □ Villa Rica: 705 Dallas Highway, Suite 301, Villa Rica, GA 30180 Children’s Physician Group– Rheumatology

Guidelines for referrals

Below is a list of guidelines to follow when referring a patient to Children’s Physician Group– heumatology for a consultation. hese are meant to e general guidelines. f you hae specific uestions, call CS () and as to spea with the oncall rheumatologist.

Conditions treated  nylosing spondylitis  icroscopic polyangiitis  Sarcoidosis  Behcet’s disease  ied connectie tissue disease  Sjögren’s syndrome  Chronic recurrent multifocal  orphealocalied scleroderma  Systemic lupus erythematosus osteomyelitis (C) (in conjunction with  Systemic sclerosisscleroderma  Granulomatosis with polyangiitis dermatology)  eitis (along with (Wegener’s)  Periodic feer syndromes ophthalmology)  uenile dermatomyositis  Psoriatic arthritis  uenile idiopathic arthritis ()  Polyarteritis nodosa

Urgent referrals f you feel your patient needs to e seen immediately, denote “urgent” on the rheumatology referral form. All referrals marked “urgent” are triaged to help make sure patients are seen in a timely fashion. f you wish to spea to the oncall pediatric rheumatologist, call --CS (). Generally, conditions that may warrant an urgent initial outpatient isit include, ut are not limited to  Persistent joint swelling (chronic arthritis is defined as ≥ wees) without antecedent trauma. Starting an S such as iuprofen or naproen may e warranted. We do not adocate giing these patients oral steroids prior to the initial consultation isit, as they may oscure alternatie diagnoses and signs of arthritis.  Significant joint contractures affecting function.  oint pain and swelling with persistent feers ( ) without infectious or oncologic etiology.  persistent malar rash with mild cytopenias, signs of serositis (pleural effusion on ray or pericardial effusion on echocardiogram) or mild proteinuria (send first morning urine protein creatinine).  dermatomyositis rash (i.e., persistent pin scaly papular rash oer CPs, PPs, elows andor nees, or malar rash) with signs of weaness or eleated muscle enymes (i.e., S, , C or ).

Non-urgent referrals here are seeral conditions we see that may not warrant an urgent ealuation gien the aailale resources. hese may include the following  Chronic pain with sleep disturances, fatigue, diffuse joint or muscle pain with normal eam, and normal CBC and acute phase reactants do not reuire an urgent appointment. hese patients can e managed y the primary care proider with counseling or y the pain serice if seere. positie test without other symptoms, eam findings or anormal las (i.e., CBC, S, CP, CP, urinalysis, muscle enymes, S or free ) does not change this recommendation.

49  Children with musculoseletal pain ut no signs of inflammation (i.e., swelling, warmth or decreased range Children’s Physician Group– of motion) seldom hae a chronic rheumatic condition, een if they hae a positie test. Consider ray to ealuate for fracture, cancer and consider trial of Ss, physical therapy and increased physical Rheumatology actiity. Children with prolonged episodes of intermittent leg pain at night with normal daytime actiities and normal studies (i.e., CBC, S, CP or ray) usually have “growing pains” and do not necessarily need a rheumatologic ealuation.  Raynaud’s phenomenon is a common complaint in tall, thin teenage girls in winter months. ost of these Referral form patients—as long as they do not hae other concerning symptoms or eam anormalities—hae primary Raynaud’s phenomenon and no underlying rheumatic disease. Labs that are helpful in evaluating these □ Non-urgent referrals: Fax this form to 404-785-9111. patients and could e otained prior to referral include CBC with differential, S, CP, CP, and □ Urgent referrals: Fax this form to 404-785-9096. Call 404-785-DOCS (3627) if you would like to discuss this case antiphospholipid antiodies. ae sure patients eep core and etremities warm y wearing warm gloes and socs, and y using heat pacs. with the on-call rheumatologist.  normal la findings, such as a positie or positie rheumatic factor at a low titer, in the asence of ojectie clinical findings usually do not reuire rheumatologic ealuation. ______Patient's name: ______Conditions seen by other specialists Today’s date here are some conditions that may warrant the epertise of other specialties, een though joint pain might e Patient's date of birth: ______one of their manifestations. Patient’s gender: □ Male □ Female  or patients with chronic widespread pain where Checklist: you suspect firomyalgia, mae a referral to the Pain elief Clinic as well. he wait is often long for these □ Fax all appropriate records to Parent/guardian's name: ______patients. f they wait to see rheumatology efore a referral to the Pain elief Clinic is made, they will wait our office prior to the patient’s een longer to e seen in the Pain elief Clinic. ur primary role is to eclude a rheumatic disease that Cellphone: ______Alternate phone: ______might e present concomitantly. visit. This includes office visit  (i.e., hlers anlos syndrome or Marfan’s syndrome): efer notes, imaging studies (X-rays, Interpreter required: □ Yes □ No Language requested: ______to the Genetics Clinic. lso consider a cardiology ealuation to screen for cardiac manifestations of MRI, etc.) and lab results. If lab connectie tissue disease. results are pending at the time Referring provider’s name: ______records are faxed, make sure the Referrals and medical records completed results are sent over Office phone: ______Office fax: ______ “” he oncall when available. rheumatologist is aailale to discuss any case or concern y calling CS (). rheumatology □ If the patient had imaging Referring provider’s status with patient: □ PCP □ Not PCP referral form is aailale to aid in communication of clinical data. studies, ask the family to bring a  onurgent referral reuests should e faed to . PCP name: ______PCP phone: ______ rgent referral reuests should e faed to . disc with the images to their rheumatology appointment. Reason for referral (check all that apply): Make sure all appropriate records are faxed to our office prior to the patient’s visit. This includes the office □ If the patient has seen other □ Joint pain and swelling □ Muscle weakness □ Recurrent fevers □ Rash visit notes, imaging studies (i.e., X-rays or MRI) and lab results. If lab results are pending at time the records specialists related to their □ Uveitis □ Abnormal labs □ Other: ______are faxed, send the complete results when available. symptoms, send these records to us as well. Did you send relevant labs pertaining to this referral? □ Yes □ No If the patient had imaging studies, ask the family to bring a CD with the images to their rheumatology - If yes, are the results included with this form? □ Yes □ No appointment. - If yes, are any lab results still pending at this time? □ Yes □ No - List labs that are still pending: ______If the patient has already seen other specialists related to their symptoms (i.e., ophthalmology or orthopaedics), send these records to us as well. Were imaging studies performed (X-ray, ultrasound, CT, MRI)? □ Yes □ No - If yes, are the results included with this form? □ Yes □ No - Have the patient bring a CD with images if they were not performed at a Children’s Healthcare of Atlanta facility.

Did another physician or specialist recommend this referral? □ Yes □ No - If yes, have all relevant clinic notes, labs and/or imaging study reports from the specialist been faxed? □ Yes □ No - If you do not have records from the specialist, provide the following: Children’s Healthcare of Atlanta Inc. All rights reserved. Specialist name: ______Phone: ______50 Children’s Physician Group– Rheumatology

Referral form

□ Non-urgent referrals: Fax this form to 404-785-9111. □ Urgent referrals: Fax this form to 404-785-9096. Call 404-785-DOCS (3627) if you would like to discuss this case with the on-call rheumatologist.

______Patient's name: ______Today’s date Patient's date of birth: ______

Patient’s gender: □ Male □ Female Checklist: □ Fax all appropriate records to Parent/guardian's name: ______our office prior to the patient’s visit. This includes office visit Cellphone: ______Alternate phone: ______notes, imaging studies (X-rays, MRI, etc.) and lab results. If lab Interpreter required: □ Yes □ No Language requested: ______results are pending at the time Referring provider’s name: ______records are faxed, make sure the completed results are sent over Office phone: ______Office fax: ______when available. □ If the patient had imaging Referring provider’s status with patient: □ PCP □ Not PCP studies, ask the family to bring a PCP name: ______PCP phone: ______disc with the images to their rheumatology appointment. Reason for referral (check all that apply): □ If the patient has seen other □ Joint pain and swelling □ Muscle weakness □ Recurrent fevers □ Rash specialists related to their □ Uveitis □ Abnormal labs □ Other: ______symptoms, send these records to us as well. Did you send relevant labs pertaining to this referral? □ Yes □ No - If yes, are the results included with this form? □ Yes □ No - If yes, are any lab results still pending at this time? □ Yes □ No - List labs that are still pending: ______

Were imaging studies performed (X-ray, ultrasound, CT, MRI)? □ Yes □ No - If yes, are the results included with this form? □ Yes □ No - Have the patient bring a CD with images if they were not performed at a Children’s Healthcare of Atlanta facility.

Did another physician or specialist recommend this referral? □ Yes □ No - If yes, have all relevant clinic notes, labs and/or imaging study reports from the specialist been faxed? □ Yes □ No - If you do not have records from the specialist, provide the following: Specialist name: ______Phone: ______Children’s Physician Group— Pulmonology

2020-2021 Synagis Enrollment Form

**PLEASE Include a copy of insurance/Medicaid card and NICU discharge summary.**

______Patient's name: ______Gender: □ M □ F Today’s date Parent/guardian names: ______Address: ______Referral form completed by ______Phone (H): ______(W): ______(C): ______Direct contact phone number Primary insurance name/ID#: ______Policy holder’s name: ______DOB: ______Pediatrician name Secondary insurance name/ID#: ______Practice name PATIENT INFORMATION ______Date of birth: ______Gestational age: ______weeks ______days Practice zip code Birth hospital: ______NICU discharge date: ______Birth weight: ______lb/kg Current weight: ______lb/kg Pediatrician phone number ______Current height: ______in/cm Date weight and height were taken: ______Pediatrician fax number Has this child received Synagis this season? □ Yes □ No Date: ______Referring physician name AAP GUIDELINE ASSESSEMENT (select appropriate qualifying description) (if different than pediatrician) □ Prematurity: Born before 29 weeks gestation and birthdate after 10/1/2019. □ CLD First Year of Life: Born before 32 weeks gestation and has chronic lung disease (CLD) with a requirement for supplemental oxygen for at least the first 28 days of life and birthdate after 10/1/2019. □ CLD Second Year of Life: Born before 32 weeks gestation and has CLD with a requirement for supplemental oxygen for at least the first 28 days of life and birthdate after 10/1/2018 and has required treatment with chronic corticosteroids, diuretics or oxygen after 4/1/2020. Medications: ______□ CHD: Hemodynamically significant congenital heart disease (CHD) and birthdate after 10/1/2019 with written recommendation indicating need for Synagis from cardiologist. □ Cyanotic □ Acyanotic Diagnosis: ______Diagnosis code: ______□ Neuromuscular/airway: Neuromuscular disease or congenital anomaly that impairs ability to clear airway secretions and born after 10/1/2019. Diagnosis: ______D iagnosis code: ______

REFERRAL INSTRUCTIONS Select your preferred location and fax this form to 404-785-0596. Contact Jessica Van Emburgh, Synagis Coordinator, at 404-785-0588 ext. 11721 with questions. □ Center for Advanced Pediatrics □ Mount Vernon Highway

22474-08 Patient Name: Children's Healthcare of Atlanta

The Sibley Heart Center, Children’s at Egleston Campus Patient DOB: PULMONARY HYPERTENSION CLINIC REFERRAL FORM

Date:______

Patient Name:______DOB:______Age:______

Parent’s Name:______Home Phone:______

Home Address:______Cell Phone:______

______Work Phone:______

Referring Physician:______Contact Number:______

Primary Care Physician:______Office Phone:______

Reason for referral:______

______

______

Diagnosis(es):______

______

______

New PH clinic appointments are routinely staffed by both a cardiologist and pulmonologist. Please indicate if

you would like the patient seen by: Cardiologist only Pulmonologist only

Person completing form (print): ______Signature:______

INSTRUCTIONS:

Demographics sheet (including insurance information)

Most recent clinic note

Cardiac catheterization report (if relevant)

Echocardiogram report (if relevant)

Other imaging/clinical information (if relevant)

Call 404-785-2950 (Patricia Lawrence, NP) with questions.

Please fax this form and above documents to 404-785-1869 Total number of pages ______(Inclusive) Sibley Heart Center Cardiology Referral Form Phone: 404-256-2593 or 800-542-2233 Fax: 404-252-7431 choa.org/cardiology

Please fax signed form to 404-252-7431. 404-252-7431.

Patient Name: ______Date of Birth: __/__/__ Patient Phone: ______Referring Provider Name: ______Provider Phone: ______Provider Fax ______(PRINT)

¨ Fax demographic sheet, clinical notes or other records needed for the appointment, with referral to 404-252-7431

Diagnosis: (Check all that apply for full evaluation by Cardiologist)

Sibley Heart Center Cardiology ___ Chest pain ___ Cyanotic Episodes ___ Syncope/lightheadedness For DX below, send information as indicated: ___ Palpitations ___ Hypertension (Send prior BP readings) ___ Tachycardia ___ Hyperlipidemia (Send most recent labs) ___ Cardiac Clearance ___ Abnormal ECG (Send previous ECG) ___ Murmur ___ Other ______

¨ Orders must be received before a test can be performed: Fax this order to 404-252-7431. Sibley Heart Center Cardiology Heart Center Sibley

Diagnosis ______Reason for Study ______ECG (Need previous ECG if available) ___ Echocardiogram ___ Holter Monitor (24-hour study) ___ Event Recorder (30 day study)

Referring Provider Signature Required: ______Date: ____/____/____

At Sibley Heart Center Cardiology we have a medical interpreter and language line available

Please call us at 404-256-2593 or visit www.choa.org/cardiologyreferrals to submit an online referral. To request more pads to be sent to your office, visit choa.org/orderpad

CHOA/SHCC.RxPad.12/26/18 Request for Services

Primary Care Provider (PCP) Referral Stephanie V. Blank Center for Safe and Healthy Children Child advocacy center and a department of Children’s at Scottish Rite hospital

PLEASE FILL OUT COMPLETELY Date of request: ______

Please note: PCPs are only able to request forensic medical exams.

Practice and Physician/Provider Name: ______Are you requesting a forensic medical exam? Yes ____ No _____ Is law enforcement involved? Yes ____ No _____ Jurisdiction: ______Case Number: ______Is DFCS involved? Yes ____ No _____ County: ______

If there is a suspicion for child abuse, a report to DFCS is required by law. Report by dialing: 1-855-GA-CHILD or 1-855-422-4453 (Reporting to the SVB Center does not satisfy mandated reporting requirements)

Victim’s Data Victim’s Legal Name: ______Date of Birth: ______Age: ___ Gender: ____Male ____Female Race: ______Language: ______Victim’s Address: ______City / ZIP: ______County: ______Parent/Legal Guardian Name: ______Parent/Legal Guardian Date of Birth: ______Relation to Victim: ______Phone: (H) ______(C) ______Any known special needs/developmental delays? ______

Allegations Sexual abuse ______Physical abuse ______Neglect ______

FOR SEXUAL ABUSE (Please indicate ALL that apply): Fondling _____ Digital-vaginal _____ Digital-Anal _____ Oral-Vaginal _____ Oral-Penile ______Penile-Vaginal _____ Penile-Anal _____

Produced by: Child Protection PAGE 55 Revised: 3.16.21 Page 1 of 2 Stephanie V Blan Center for Safe and ealth Children – RRRAL (continued)

DSCRN ALLD ABS: or all concerns please e specific regarding hat is eing reported his ill greatl assist or ailit to sere clients adeatel and promptl ______

Date of Last Contact ith Alleged erpetrator: ______Location of Ase: ______Cont: ______

as child had a medical eam regarding allegation es ____ No _____ Date of eam: ______Name of phsician: ______Location: ______edical findings: ______

as this child completed a forensic interie regarding crrent allegations es ____ No _____ Date of : ______Location of :______f es ho condcted preios interie ______

tat mati Name: ______Age: _____ DB: ______Relationship to Victim: ______Race: ______ender: ____ale ____ emale Arrested: ____es ____No Charges: ______

a completed form ith a cop of any progress notes / lab results / relevant information to:

ttti ta iat

Call ntae Coordinator at if o need confirmation that the faed or emailed referral has een receied

age of

868 Name Children's Healthcare of Atlanta Urgent Care Services Date of Birth អ Egleston អ Scottish Rite អ Forsyth UC អ Cherokee UC អ Hamilton Creek UC អ Hudson Bridge UC អ North Point UC អ Satellite Blvd UC អ Town Center UC អ Chamblee Brookhaven UC MRN#

DOWNTIME MILD TRAUMATIC BRAIN INJURY/ Account/HAR# CONCUSSION ASSESSMENT CRITERIA TOOL PATIENT IDENTIFICATION

1. Gerard Gioia, Ph.D. & Micky Collin, Ph.D. Centers for Disease Control and Prevention (CDC) “Heads Up: Brain Injury in Your Practice,” Acute Concussion Evaluation (ACE) tool kit. 2. Prashant V. Mahajan, M.D., M.P.H., M.B.A. “Head Injuries” AAP Textbook of Pediatric Care, chapter 348, Aug. 26, 2008. 3. Sport Alliance of SCAT2 (Sport Concussion Assessment Tool – Full Version). 4. TraumaticBrainInjury.com, LLC, Symptoms of Traumatic Brain Injury “Gaslow Coma Scale.”

25162-02 05/18 Page 1 of 2 868 Name Children's Healthcare of Atlanta Urgent Care Services Date of Birth � Egleston � Scottish Rite � Forsyth UC � Cherokee UC � Hamilton Creek UC � Hudson Bridge UC � North Point UC � Satellite Blvd UC � Town Center UC � Chamblee Brookhaven UC MRN#

DOWNTIME MILD TRAUMATIC BRAIN INJURY/ Account/HAR# CONCUSSION ASSESSMENT CRITERIA TOOL PATIENT IDENTIFICATION

Risk Factor for Protracted Recovery (Check All That Apply)

Headache Developmental Psychiatric � Concussion History � � � History History History Previous # 1 2 3 4 5 6+ � Prior Treatment for headache � Learning disabilities � Anxiety

Longest symptom duration � History of migraine headache � Attention-De cit/ � Depression Days ___ Weeks ___ � Personal Hyperactivity Disorder Months ___ Years ___ � Family______� Sleep Disorder If multiple concussion, less � Other Developmental � Other psychiatric force caused re-injury? disorder? ______disorder?

List Other co-morbid medical disorders or medication usage (e.g., hypothyroid, seizures)

Diagnosis Codes � F07.81 Postconcussional syndrome � G44.319-Acute post-traumatic headache, not intractable � S06.0X0A-Concussion without loss of consciousness, initial encounter � S06.0X0D-Concussion without loss of consciousness, subsequent encounter � S09.90-Unspeci ed injury of head � S06.0X1A-Concussion with loss of consciousness of 30 minutes or less, initial encounter � S06.0X1D-Concussion with loss of consciousness of 30 minutes or less, subsequent encounter � S06.0X2A-Concussion with loss of consciousness of 31 minutes to 59 minutes, initial encounter � S06.0X9A-Concussion with loss of consciousness of unspeci ed duration, initial encounter � S06.0X9D-Concussion with loss of consciousness of unspeci ed duration, subsequent encounter � Other ______Follow-Up Action Plan � Primary Medical Doctor (PMD) � Contact Children’s Concussion Nurse � No Follow-up Needed � Emergency Department at 404-785-KIDS (5437) for: � CT Scan � Educational Material Provided PMD name � Referred to Website www.choa.org/concussion Timeline for re-assessment Revisit � Call physician in days � Return Visit Within 3 days � Return Visit in 1 Week � Return Visit in 2 Weeks Date: Date: Date: Notes:

Provider Signature: Date:______Time:

1. Gerard Gioia, Ph.D. & Micky Collin, Ph.D. Centers for Disease Control and Prevention (CDC) “Heads Up: Brain Injury in Your Practice,” Acute Concussion Evaluation (ACE) tool kit. 2. Prashant V. Mahajan, M.D., M.P.H., M.B.A. “Head Injuries” AAP Textbook of Pediatric Care, chapter 348, Aug. 26, 2008. 3. Sport Alliance of Ontario SCAT2 (Sport Concussion Assessment Tool – Full Version). 4. TraumaticBrainInjury.com, LLC, Symptoms of Traumatic Brain Injury “Gaslow Coma Scale.”

25162-02 05/18 Page 2 of 2

Sibley Heart Center Cardiology Referral Form Phone: 404-256-2593 or 800-542-2233 Fax: 404-252-7431 choa.org/cardiology

Please ask the patient or parent/guardian to bring this signed form at the time of the visit. If necessary, generate a referral request from the patient’s insurance plan. Please fax the authorization to 404-252-7431. Patient Name: ______Date of Birth: __/__/__ Patient Phone: ______Referring Provider Name: ______Provider Phone: ______Provider Fax ______(please print)

Option 1: Evaluate and Treat ¨

Diagnosis: (Check all that apply)

___ Chest pain ___ Cyanotic episodes ___ Syncope/lightheadedness ___ Hypertension (Send prior BP readings)

Sibley Heart Center Cardiology ___ Palpitations ___ Hyperlipidemia (Send most recent labs) ___ Tachycardia ___ Abnormal ECG (Send previous ECG) ___ Cardiac Clearance ___ Other ______Murmur

Send last clinic notes or other records needed for this appointment.

Option 2: Test Only¨

Patient will NOT see a Cardiologist

Diagnosis ______Sibley Heart Center Cardiology Heart Center Sibley

___ ECG (Need previous ECG if available) ___ Echocardiogram ___ Holter Monitor ___ Event Recorder

Orders must be received before a test can be performed. Fax orders to 404-252-7431.

Referring Provider Signature: ______Date: ____/____/____

At Sibley Heart Center Cardiology we have a medical interpreter and language line available to assist all non-English speaking patients.

Please call us at 404-256-2593 or visit choa.org/orderpad to request more order pads be sent to your office.

CHOA/SHCC.RxPad.12/23 STAT CALL REPORT DT18123 Advanced Pediatric Imaging Egleston Scottish Rite Webb Bridge Town Center 1405 Clifton Road 1001 Johnson Ferry Road 3155 North Point Pkwy, 625 Big Shanty Road, Atlanta, GA 30322 Atlanta, GA 30342 Alpharetta, GA 30005 Kennesaw, GA 30144 404-785-6078 404-785-2787 404-785-9729 404-785-9729 FAX: 404-785-9082 FAX: 404-785-9062 FAX: 404-785-9175 FAX: 404-785-9175

ALL AREAS BELOW IN BOLD ARE REQUIRED Patient’s FULL LEGAL Name: DOB: Home Phone: Address: City: State: Zip: Guarantor E-mail: Cell Phone: Insurance/Medicaid Plan: Policy & Group #: Authorization#: (Please also fax copy of Insurance card, front & back, with this order) Reason For Exam (Signs, Symptoms, Chief Complaint)

REQUIRED Ordering Physician’s Signature Office Contact: Print MD Name: Practice Phone: Date/Time Signed: Backline Phone: Fax: PCP Name (if different): PCP Fax:

Special Instructions Order Comments / Other Send CD with patient Send Film with patient Schedule for (date/time): SEDATION QUESTIONNAIRE Developmental Delay? No Yes History of apnea or obstructive breathing (e.g. snoring)? No Yes Does this child require General Anesthesia? No Yes Previous complication with sedation? No Yes MRI Contrast at Radiologist’s Discretion Without Contrast With Contrast Without & With Contrast Brain Chest Cervical Spine Arthrograms Brain Limited (shunt check) Heart Thoracic Spine L R Epilepsy Surgery Protocol Heart with Stress Lumbar Spine Shoulder MRS (Spectroscopy) Heart Velocity Flow Mapping (cardiac) Complete Spine Elbow Perfusion MRI Heart Iron Quantification Wrist Functional MRI Abdomen Brachial Plex w/o Neuro ORBIT/ FACE/ NECK: Fetal Brachial Plex w/o Shoulder Orbit Abdomen /Pelvis Face Pelvis Upper Extremity Bone L R Neck Ferriscan (Liver Iron) Upper Extremity Joint L R Temporal Enterography Lower Extremity Bone L R Renal Study Lower Extremity Joint L R MRA: Brain Neck Chest Abdomen Pelvis Extremity (upper/lower) Other MRV: Brain Neck Chest Abdomen Pelvis Extremity (upper/lower) Other CT Contrast at Radiologist’s Discretion Without Contrast With Contrast Without & With Contrast Head Cervical Spine Chest Upper Extremity Orbit Sella Ear Thoracic Spine Abdomen ______L R Maxillofacial / Sinus Lumbar Spine Abdomen /Pelvis Lower Extremity Neck T / L Spine Pelvis ______L R Limited Hip (Spica) 3D Rendering CT Angiography: Head Neck Chest Abdomen Abdomen/Pelvis Other ______NUCLEAR MEDICINE (HOSPITAL ONLY) Sedation Possible (<5yr or Special Needs) GFR Height_____ Weight_____ CSF Shunt Evaluation Nuclear Cystogram Kidney w/ Lasix (MAG3/DTPA) Brain Scan w/ SPECT Thyroid Scan w/Uptake-Multi (I-123) Kidney w/o Lasix (MAG3/DTPA) Bone Scan w/ SPECT HIDA with CCK Kidney, Static (DMSA) 3 Phase Bone Scan (specify area) Gastric Emptying Scan Lung Scan Perfusion DXA Bone Density (Egleston and Scottish Rite Only) Meckels Scan Lung Scan Ventil & Perfusion MIBG Whole Body SPECT

Interventional Radiology and PET Order Forms available at http://www.choa.org/Radiology Visit choa.org/radiology for a list of CPT codes, ACR ordering guidelines, or to request/print additional forms.

22405-27 9/15 DT18123 Name Interventional Radiology Date of Birth អ Egleston អ Scottish Rite 1405 Clifton Road 1001 Johnson Ferry Road MRN# Atlanta, GA 30322 Atlanta, GA 30342 404-785-2079 404-785-4775 Account/HAR# FAX: 404-785-1248 FAX: 404-785-4713 PATIENT IDENTIFICATION 404-785-9111 for clinic referrals

ALL AREAS BELOW IN BOLD ARE REQUIRED Patient’s FULL LEGAL Name Date of Birth Phone Number

Address City, State ZIP

Insurance/Medicaid Plan Policy & Group#

Authorization# (Please also fax a copy of insurance card, front and back, with this order) Guarantor’s Email

Reason For Exam (Signs, Symptoms, Chief Complaint)

Exam to be Completed (If procedure is a Lumbar Puncture, Please notate below if opening/closing pressures are necessary along with CSF samples or CSF samples alone.)

Lab Orders (If any specimens are to go to the lab, please place Lab Orders below. If this section is not completed, no studies will be completed by the lab.)

ALL OFFICE CONTACT INFORMATION REQUESTED IS MANDATORY Ordering Physician’s Printed Name Practice Name

Ordering Physician’s Signature Office Contact

Date/Time Signed Backline Phone Fax

PCP Name (if different): PCP Fax

Interventional Radiology

Special Instructions Order Comments / Other Date / Time Req: Confirmed Appt: Foster Child: K Yes Contact:

22405-28 (1/17) អ STAT CALL REPORT DT18123 Pediatric Imaging អ Egleston អ Scottish Rite អ Webb Bridge អ Town Center អ Hughes Spalding អ Satellite Blvd 1405 Clifton Road 1001 Johnson Ferry Road 3155 North Point Pkwy, 625 Big Shanty Road, 35 Jesse Hill Dr. SE, (Ultrasound Only) Atlanta, GA 30322 Atlanta, GA 30342 Alpharetta, GA 30005 Kennesaw, GA 30144 Atlanta, GA 30005 2660 Satellite Blvd., 404-785-6078 404-785-2787 404-785-9729 404-785-9729 404-785-9988 Duluth, GA 30098 FAX: 404-785-9082 FAX: 404-785-9062 FAX: 404-785-9175 FAX: 404-785-9175 FAX: 404-785-9972 404-785-9729 FAX: 404-785-9175 ALL AREAS BELOW IN BOLD ARE REQUIRED Patient’s FULL LEGAL Name: DOB: Home Phone: Address: City: State: Zip: Guarantor E-mail: Cell Phone: Insurance/Medicaid Plan: Policy & Group #: Authorization#: (Please also fax copy of Insurance card, front & back, with this order) Reason For Exam (Signs, Symptoms, Chief Complaint)

REQUIRED Ordering Physician’s Signature

Office Contact: Print MD Name: Practice Phone: Date/Time Signed: Backline Phone: Fax: PCP Name (if different): PCP Fax:

Special Instructions Order Comments / Research Patient / Other? អ Send CD with patient អ Send Film with patient អ Schedule for (date/time):

X-RAY � Neck Soft Tissue � Shunt Series � Shoulder (min 2 views) � Clavicle Complete � Sinuses, <3/3+ views � Humerus (min 2 views) � Chest (1/2 views) � Skull, <4 views � Elbow (2 views) � Infant Chest w/ Abdomen � Joint Survey 1 view, (Rickets) � Forearm (2 views) LEFT � Ribs Unilateral 2 views � C-Spine, 3 views or less � Wrist (min 3 views) � Ribs Bilateral 3 views � T Spine (2 views) � Hand (min 3 views) RIGHT � Ribs Bilateral w/ Chest (min 4 views) � T-L Spine Scoliosis Standing � Finger(s) (min 2 views) � Abdomen AP (KUB) � L-Spine, 2-3 views (complete) � Femur (2 views) BILATERAL � Abdomen 2V � Skeletal Survey � Knee (1/2 views) � Pelvis (1-2 views) � Bone Age � Tibia/Fibula (2 views) � Pelvis/Hip Infant/Child (2 views) � Bone Length (i.e. scanogram) � Ankle, 2/3 views � Nose-Rectum, foreign object � Upper Extremity, Infant (min 2 views) � Foot (min 2 views) � Lower Extremity, Infant (min 2 views) � Toe(s) (min 2 views) FLUOROSCOPY / OTHER � Voiding Cystourethrogram (with � Airway Fluoro/Diaphragm � Mod Barium Swallow (OPMS with speech therapist) urine culture) � Upper GI Series (thru duodenum) � GI Tube Injection � Voiding Cystourethrogram (no � Upper GI Series with Scout � Cont Inject Eval CVA Line culture) � UGI SBFT (esophagus thru colon) OTHER � Cystogram (non-voiding) � Barium Enema � DXA Bone Density (Egleston and Scottish Rite Only) � Esophagram � Therapeutic Enema � Other ULTRASOUND � Retroperitoneal (Renal) � Hips (Dynamic/Static) (less than 6 mos) � Scrotum � w/ Doppler � Kidney Transplant Does child have harness? Y N � Spinal Canal/Sacrum (< 5 mos) � Adrenals Only (LTD Retroperitoneal) � Pelvis, non-OB � Chest � Abdomen � Doppler Transcranial (Hospital Only) � Breast Limited � L � R � Doppler (Vascular Abd/Renal) � Soft Tissue Head/Neck � Breast Complete � L � R � Abdomen Limited (e.g. RUQ/Pyloric) � Encephalogram (Cranial) � Extremity, non-vasc compl. � L � R � Abdomen Limited - Intussusception � Abdomen Limited - Appendicitis � Doppler (Vascular Extremity) � L � R Visit choa.org/radiology for a list of CPT codes, ACR ordering guidelines, or to request/print additional forms.

22405-24 7/16 PLEASE FILL RESPONSES WITH CAPITAL LETTERS WITHIN THE BOXES

Patient Information  '7 Name (first):

(last): &KLOGUHQ V+HDOWKFDUHRI$WODQWD Date of Birth:   Gender: M F (language): 5(+$%,/,7$7,216(59,&(625'(5 Interpreter Required: No Yes Parent/Guardian:

Phone (home): (other): Referring & Medical Diagnoses (written): ICD-10 Code(s):

Audiology (AuD) Date of Doctor's Office Hearing Screening (if applicable):   Result: Pass Fail Hearing Eval Newborn Hearing Screening/Follow-up Swimplugs/Musicians' Earplugs Vestibular Evaluation Auditory Processing Eval (7+yrs old) Cochlear Implant Services Bone Anchored Hearing Device (for surgical implants) Bone Conduction (for softband) Ɣ Hearing Aids (choose one) New Hearing Aid Patient Established Hearing Aid Patient Ɣ Auditory Brainstem Response (ABR) Test (choose one) non-sedated (under 4 mos old using adj age) sedated (at least 4 mos old using adj age) Advanced Technology/Robotic Rehabilitation (OT/PT) Evaluate and treat as recommended for: Occupational Therapy Physical Therapy

Assistive Technology (OT/PT/ST) Evaluate and treat as recommended for: Date of Last Doctor's Office Visit:   (GA Medicaid Requirement) Patient's Height: ft. in. Weight: lbs. Augmentative Communication Computer Access/Environmental Control Evaluation Seating & Mobility

Orthotics & Prosthetics Specify Device: with PT Evaluation & Treatment with OT Evaluation & Treatment Cranial Remolding Orthosis Cranial Remolding Orthosis with PT Evaluation & Treatment

Occupational Therapy (OT) Evaluate and treat as recommended for: General OT (or choose a specialty below) Aquatic Therapy (OT or PT) DW02%$TXDWLFVRU6FRWWLVK5LWH$TXDWLFV Constraint Induced Movement Therapy (CIMT) 'ULYHU5HKDELOLWDWLRQ Feeding (OT or ST) Hand Therapy Serial Casting (OT or PT) Start Date:   Duration: wks Splinting (OT or PT)

Physical Therapy (PT) Evaluate and treat as recommended for: General PT (or choose a specialty below) Aquatic Therapy (PT or OT) DW02%$TXDWLFVRU6FRWWLVK5LWH$TXDWLFV Splinting (PT or OT) Serial Casting (PT or OT) Start Date:   Duration: wks Vestibular Rehabilitation

Speech-Language Therapy (ST) Evaluate and treat as recommended for: General ST (with hearing eval if last results are >6 mo old (or choose a specialty below) Feeding (ST or OT) Flexible Endoscopic Evaluation of Swallowing (FEES) Oral Pharyngeal Motility Study/Modified Barium Swallow (OPMS) Reading Disorder/Dyslexia Voice Disorder Physician's Statement of Medical Necessity and Services The above-named individual is currently under my medical care. I have recommended the services/apparatus indicated which is medically necessary for optimal care of the condition for which I have been consulted. Rehabilitation Potential: Good Fair Poor Recommended Frequency: times per (week or month)

Physician's Printed Name: )RUTXHVWLRQVDERXWDQ\WKLQJRQWKLVRUGHUSOHDVHFRQWDFW

Physician's Signature: Physician Office Contact’s Name:

Date:   Time:  AM PM Contact’s Phone Number:

Physician’s License Number: Fax Number:

Visit FKRDRUJUHKDESURIHVVLRQDOV for more information or to reorder this form. Some physicians and affiliated healthcare professionals on the Children’s Healthcare of Atlanta team are independent providers and are not our employees.

25535-01 (/19)

Children’s Healthcare of Atlanta Sleep Disorders Laboratory Order Form Please print clearly Child’s name: ______Sex: □ M □ F Child’s DOB: ______Children’s MRN (if known): ______Parent/Guardian’s Name: ______Address: ______Primary phone: ______Alt. Phone: ______Email: ______Preferred language: English___ Spanish ___ Other: ______Ordering physician:______Office Phone: ______Fax:______Primary care physician (if not the ordering physician):______Source: □ Office □ TDPC □ Craniofacial □ MDA □ Sickle cell □ Other:______Previous study: □ No □ Yes If Yes: □ Children’s Healthcare of Atlanta □ Other:______Reason for study:______List signs/symptoms, do not use “rule out,” “probable,” “suspected,” etc. ICD-10 Code (sleep related; required) Check all that apply: □ R06.83 (snoring) □ G47.33 (obstructive sleep apnea) □ G47.36 (hypoxemia) □ other(s) ______Other medical problems: □ □ ADHD □ Autism □ Sickle cell □ Tracheostomy □ Obesity Insurance company:______Group/ID #:______Pre-certification/authorization number:______If pre-certification is required by insurance, please obtain and fax the authorization to us no later than one week before the test date.

Evaluation Requested: (for explanation, visit choa.org/sleep or call us) □ Nocturnal Polysomnogram (CPT code 95810 if > 6 yrs or 95782 if < 6 yrs of age) This is a complete overnight study that includes sleep staging and respiratory parameters □ Check here if you would like us to order O2 (if needed) and provide consultation/follow up □ Cardiology patients: Provide the child’s baseline/expected SpO2 ______□ CPAP or Bi-level PAP titration (CPT code 95811 if > 6 yrs or 95783 if < 6 yrs of age) CPAP/BPAP titration order form required; a sleep medicine or pulmonology consult is recommended □ Multiple Sleep Latency Test (MSLT) (CPT code 95805) Nap study for narcolepsy; must also order the Nocturnal Polysomnogram above A sleep medicine consult is required before an MSLT unless previously evaluated by a neurologist Special study requests and/or special needs of the child: ______

We will schedule the study at the Children’s Sleep Laboratory that is best for the family and the parameters requested: Egleston Sleep Center Satellite Boulevard Sleep Center Scottish Rite Sleep Center

Interpreting group for this study (each of our sleep specialists can interpret studies performed at any location): □ Children’s Physician Group–Sleep (Egleston-based physicians: Roberta Leu, Daniel Torrez) □ Children’s Physician Group–Sleep (Scottish Rite-based physicians: Gary Montgomery, Sophia Kim)

The ordering physician must choose the interpreting group and send clinical notes before we can schedule the study.

Ordering physician signature:______Date:______Please print name clearly: ______

Fax this form and history/clinical notes to 404-785-2211 Questions: Contact Central Scheduling at 404-785-2974 or [email protected]

Revised 08/2018 CPT Codes as of 2015 Visit choa.org/sleep for more information or to print additional forms. DT18123

Name Children’sChildren’s Healthcare Healthcare of Atlantaof Atlanta Date of birth

MRN# SPORTS MEDICINE Account/HAR# Sports medicineORDER FORM order form PATIENT IDENTIFICATION

Patient’s name: ______Date: ______ICD10 code: ______Diagnosis: ______Precautions/specific instructions: ______U Evaluate❒ Evaluate and andtreat treat GaitGait training training TherapeuticTherapeutic exercise exercise ReturnReturn to sport to sport RegisterRegister online online U Crutches❒❒ Crutches U Passive❒❒ Passive ROM ROM U Baseball❒❒ Baseball and softball and softball Your child’sYour doctor child’s has doctor has recommended physical therapy U Non❒❒ Non-weight-bearing weight-bearing U Active❒❒ Active assisted assisted ROM ROM U Basketball❒❒ Basketball recommended physical therapy rehabilitation through our Sports U Touchdown weight-bearing U Active ROM U Cheerleading rehabilitation through our Sports ❒❒ Touchdown weight-bearing ❒❒ Active ROM ❒❒ Cheerleading Medicine Program. U Partial weight-bearing U Strengthening U Cycling Medicine Program. ❒❒ ❒❒ ❒❒ Partial weight-bearing Strengthening Cycling Visit choa.org/sportsregistration U Weight-bearing as tolerated U Isokinetic strengthening/test U Dance Visit choa.org/sportsregistration ❒❒ Weight-bearing as tolerated ❒❒ Isokinetic strengthening/test ❒❒ Dance to register for an appointment. U Full weight-bearing U Home exercise program U Diving to register for an appointment. ❒❒ Full weight-bearing ❒❒ Home exercise program ❒❒ Diving After you submit your child’s U U Posture education Football After you submit your child’s ❒❒ Posture education ❒❒ Football information through our Sports Manual therapy U Neuromuscular re-education U Gymnastics Medicine Programinformation website, through a staff our Sports ManualU Joint mobilization therapy ❒❒ Neuromuscular re-education ❒❒ Gymnastics U Other______U Lacrosse member willMedicine contact youProgram to website, a staff U Soft❒❒ Joint tissue mobilization mobilization ❒❒ Other______U Running❒❒ Lacrosse schedule anmember appointment will contact and you to ❒❒ Soft tissue mobilization Motion analysis Modalities U Soccer❒❒ Running answer anyschedule questions. an appointment and U RunningMotion analysis analysis answer any questions. U Cold packs U Swimming❒❒ Soccer Modalities U Throwing/pitching❒❒ Running analysis analysis U Electrical❒❒ Cold packs stimulation U Tennis❒❒ Swimming U Other______❒❒ Throwing/pitching analysis U Hot❒❒ Electrical packs stimulation U Track and❒❒ Tennis field ❒❒ Other______U Volleyball U Iontophoresis❒❒ Hot packs ❒❒ Track and field U Wrestling U Laser❒❒ Iontophoresis therapy (LLLT) ❒❒ Volleyball U Ultrasound U Other______❒❒ Laser therapy (LLLT) ❒❒ Wrestling U As indicated ❒❒ Ultrasound ❒❒ Other______

❒❒ As indicated Physician’s signature Physician’s printed name Date ÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊ/ˆ“i

22492-08 10/15 choa.org/sportsmed • See reverse side for locations Page 1 of 2

Physician’s signature Physician’s printed name Date Time

choa.org/sportsmed • See reverse side for locations Sports Medicine Program locations

1. Children’s at Cherokee 7. Children’s at Meridian Mark 1 4 A service of Children’s at Scottish Rite hospital A service of Children’s at Scottish Rite hospital N Forsyth 1554 Riverstone Parkway, Suite 160 5445 Meridian Mark Road NE, Suite 290

Canton, GA 30114 Atlanta, GA 30342 Cherokee

985 404-785-4268 404-785-5699 85 575 11 Fulton Fax: 404-785-4269 Fax: 404-785-5700 75 10 2. Children’s at Duluth 8. Children’s at North Druid Hills 2 316 A service of Children’s at Scottish Rite hospital A service of Children’s at Scottish Rite hospital 400 75 85 2270 Duluth Highway 120, Suite 200 1605 Chantilly Drive NE, Suite 201 285 285 Gwinnett Duluth, GA 30097 Atlanta, GA 30324 Cobb 7 400 9 404-785-8387 404-785-8421 6 85 285 W 75 E Fax: 404-785-8392 Fax: 404-785-8272 8 78

285 75/85 20 Atlanta Children’s at Snellville 20 3. Children’s at Fayette 9. Douglas DeKalb A service of Children’s at Scottish Rite hospital A service of Children’s at Scottish Rite hospital 75/85 20 20 2220 Wisteria Drive 285 1265 Highway 54 West, Suite 200 285

285 Fayetteville, GA 30214 Snellville, GA 30078 85 75 Fulton 404-785-8790 404-785-8081 285 675 Fax: 404-785-8804 Fax: 404-785-8082 Rockdale 75 85 Henry Clayton 4. Children’s at Forsyth 10. Children’s at Town Center Outpatient Newton A service of Children’s at Scottish Rite hospital 3 Care Center Coweta Fayette S 5 410 Peachtree Parkway, Suite 300 A service of Children’s at Scottish Rite hospital Cumming, GA 30041 605 Big Shanty Road NW 404-785-3090 Kennesaw, GA 30144 Fax: 404-785-3099 404-785-8008 Fax: 404-785-8003 5. Children’s at Hudson Bridge A service of Children’s at Scottish Rite hospital 11. Children’s at Webb Bridge 1496 Hudson Bridge Road A service of Children’s at Scottish Rite hospital Stockbridge, GA 30281 3155 North Point Parkway, Building A, Suite 100 404-785-4163 Alpharetta, GA 30005 Fax: 404-785-4165 404-785-8570 Fax: 404-785-8576 6. Children’s at Ivy Walk

A service of Children’s at Scottish Rite hospital 1675 Cumberland Parkway, Suite 305 Smyrna, GA 30080 404-785-4271 Fax: 404-785-4274

©2021 Children’s Healthcare of Atlanta Inc. All rights reserved. 3/21 Tools

Helpful tools • Our locations and services • Center for Advanced Pediatrics visitor information • Judson L. Hawk Jr., MD, Clinic for Children • accessCHOA: Getting started • Referring patients to a Children’s Emergency Department • Pediatric endocrinology and obesity: A physician’s quick guide • Primary care guideline for new-onset seizure • Radiology CPT codes • Sports medicine physician vs. sports physical therapist

69 32. Medical Office Building 39. Athens–Oconee Campus at Scottish Rite hospital Three Sixteen Professional Center Our locations and services 5461 Meridian Mark Road NE 1181 Langford Drive, Building 200, Suite 101 Atlanta, GA 30342 Watkinsville, GA 30677 General surgery, hematology/oncology, gynecology, Orthopaedics neuropsychology, neurosurgery, outpatient rehabilitation,1 plastic surgery and craniofacial 40. Buford 2914 Vinson Court 33. Children’s Primary Care Center of Chamblee Buford, GA 30518 4166 Buford Highway Orthopaedics Atlanta, GA 30345 Primary care 41. Columbus 705 17th St., Suite 406 1013 7 8 34. Emory Children’s Center Building Columbus, GA 31901 herokeeherokee 2015 Uppergate Drive General surgery, neurosurgery 11 orsythorsyth Atlanta, GA 30322 ultonulton 42. Newnan 85 Chronic kidney disease, hepatology, intestinal rehab, 2431 85 55 85 11 55 6 2025 85 14 60 Oak Hill Blvd., Suite 102 26 29 12 pulmonary hypertension, transplant (heart, liver and kidney) 5 23 15 5 30 Newnan, GA 30265 1924 35. Northside Professional Center Pulmonology, sleep 8 9 10 2127 975 Johnson Ferry Road 16 19 16 Atlanta, GA 30342 43. Thomasville 0000 5 5 1721 85 Child advocacy, neurology, plastic surgery 915 Gordon Ave. 85 285285 Gwinnett Thomasville, GA 31792 o 27353 3 Gwinnett o 6 7 25321620 36. Athens–St. Mary’s Neurosurgery 33 2228 15 1230 Baxter St. 18 5 5 285285 5 11 44. Villa Rica 5 1823 88 Athens, GA 30606 13 85 4 16 3240 85 41 705 Dallas Highway, Suite 301 2937 1 altonalton Endocrinology, gastroenterology, nephrology, neurology 30 2634 285285 2838 Villa Rica, GA 30180 36 20 20 31 39 20 20 2 2 37. Athens–Hawthorne Avenue Orthopaedics ouglasouglas ealeal

1000 Hawthorne Ave., Suite S 585 585 20 20 1 20 20 A department of Children’s at Scottish Rite hospital 285285 Athens, GA 30606 36 General surgery 2A department of Children’s at Egleston hospital 44 285 42 85 85 285 3Some physicians and affiliated healthcare professionals on the Children’s ulton ulton 38. Athens–Oglethorpe Avenue Healthcare of Atlanta team are independent providers and are not our employees. 6565 RockdaleRockdale 1500 Oglethorpe Ave. 4The Surgery Center at Meridian Mark Plaza LLC is an affiliate of Children’s 34 5 5 Athens, GA 30606 Healthcare of Atlanta. It is a joint venture with Scottish Rite as the majority 85 85 owner and physician investors as partners. Physicians and affiliated healthcare 22 HenryHenry Neurosurgery, pulmonology professionals who perform services at the Surgery Center at Meridian Mark Plaza 3341 ewtonewton LLC are independent providers and are not our employees. laytonlayton owetaoweta 912ayetteayette 1417 Visit choa.org/locations for information on services offered at each location.

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©2018 Children’s Healthcare of Atlanta Inc. All rights reserved. SYS 969960.kc.08/18

70 Hospitals 9. Children’s at Fayette 1265 Highway 54 West, Suite 200 1. Egleston hospital Fayetteville, GA 30214 1405 Clifton Road NE General surgery, orthopaedics and sports medicine, Atlanta, GA 30322 orthotics and prosthetics, otolaryngology (ENT), 1 2. Hughes Spalding hospital sports physical therapy 35 Jesse Hill Jr. Drive SE 10. Children’s at Forsyth Atlanta, GA 30303 In The Collection at Forsyth 3. Scottish Rite hospital 410 Peachtree Parkway, Suite 300 1001 Johnson Ferry Road NE Cumming, GA 30041 Atlanta, GA 30342 Endocrinology, general surgery, neurology, neurophysiology (EEG), orthopaedics and sports medicine, orthotics and prosthetics, sports physical therapy,1 urgent care, walk-in Outpatient locations X-ray services1 4. Marcus Autism Center 1920 Briarcliff Road 11. Children’s at Hamilton Creek Atlanta, GA 30329 In the Hamilton Mill Town Center shopping center Autism spectrum disorder, feeding disorders, sleep 2240 Hamilton Creek Parkway, Suite 600 Dacula, GA 30019 5. Center for Advanced Pediatrics Urgent care (temporarily closed) 1400 Tullie Road NE Atlanta, GA 30329 12. Children’s at Hamilton Mill Aerodigestive, allergy/immunology, cardiology, cystic fibrosis, 2069 Teron Trace developmental progress, EEG/EMG,1 endocrinology, feeding, Dacula, GA 30019 gastroenterology, general surgery, gynecology, hepatology, Orthopaedics and sports medicine Judson L. Hawk Jr., MD, Clinic for Children,1 infectious 13. Children’s at Houston Mill diseases, interventional radiology, nephrology, neurology, 1547 Clifton Road NE, Suite 200 neuropsychology, otolaryngology, physiatry, pulmonology, Atlanta, GA 30322 rheumatology, sleep, Synagis, technology-dependent Apnea 6. Children’s at Chamblee-Brookhaven 14. Children’s at Hudson Bridge 5080 Peachtree Blvd., Suite 100 Chamblee, GA 30341 In the Hudson Bridge Crossing shopping center Urgent care 1496 Hudson Bridge Road Stockbridge, GA 30281 7. Children’s at Cherokee Sports physical therapy1 In the River Pointe Shopping Center 1554 Riverstone Parkway, Suite 160 1492 Hudson Bridge Road Canton, GA 30114 Stockbridge, GA 30281 Sports physical therapy1 Orthopaedics and sports medicine

1558 Riverstone Parkway, Suite 100 1510 Hudson Bridge Road Canton, GA 30114 Stockbridge, GA 30281 Urgent care (temporarily closed), general surgery, Radiology services (walk-in X-ray),1 urgent care orthopaedics and sports medicine 1494 Hudson Bridge Road 8. Children’s at Duluth Stockbridge, GA 30281 2270 Duluth Highway 120 Otolaryngology (ENT) Duluth, GA 30097 Orthopaedics and sports medicine, orthotics and prosthetics, sports physical therapy1

71 15. Children’s at Ivy Walk 23. Children’s at Town Center 1675 Cumberland Parkway, Suite 305 625 Big Shanty Road NW Smyrna, GA 30080 Kennesaw, GA 30144 Sports physical therapy1 Radiology,1 urgent care, walk-in lab and X-ray services1

16. Children’s at Meridian Mark Children’s at Town Center Outpatient Care Center 5445 Meridian Mark Road NE 605 Big Shanty Road NW Atlanta, GA 30342 Kennesaw, GA 30144 Endocrinology, orthopaedics and sports medicine, Allergy/immunology, audiology,1 endocrinology, 1 1 orthotics and prosthetics, sports physical therapy, gastroenterology, general surgery, nephrology, 4 outpatient surgery center occupational therapy,1 orthopaedics and sports medicine, 17. Children’s at Mount Vernon Highway orthotics and prosthetics, otolaryngology (ENT), physical 1 859 Mount Vernon Highway, Suite 300 therapy, pulmonology, rheumatology, sleep, speech- 1 1 Atlanta, GA 30328 language pathology, sports physical therapy Pulmonology, sleep 24. Children’s at Webb Bridge 18. Children’s at North Druid Hills 3155 North Point Parkway, Building A 1605 Chantilly Drive NE Alpharetta, GA 30005 Atlanta, GA 30324 Radiology,1 sports physical therapy,1 walk-in lab and Audiology,1 outpatient rehabilitation,1 sports physical X-ray services1 therapy1 25. Medical Office Building 19. Children’s at North Point at Scottish Rite hospital 3795 Mansell Road 5461 Meridian Mark Road NE Alpharetta, GA 30022 Atlanta, GA 30342 Endocrinology, nephrology, rheumatology, General surgery, hematology/oncology, gynecology, 1 scoliosis screening, urgent care neuropsychology, neurosurgery, outpatient rehabilitation, plastic surgery and craniofacial 20. Children’s at Old Milton Parkway 3300 Old Milton Parkway 26. Emory Children’s Center Building 2015 Uppergate Drive Alpharetta, GA 30005 Atlanta, GA 30322 Orthopaedics and sports medicine, orthotics and Chronic kidney disease, pulmonary hypertension, prosthetics, pulmonology, sleep transplant (heart, liver and kidney) 21. Children’s at Satellite Boulevard 27. Northside Professional Center 2620 Satellite Blvd. 975 Johnson Ferry Road Duluth, GA 30096 Atlanta, GA 30342 1 Outpatient surgery center Child advocacy, neurology, plastic surgery

2660 Satellite Blvd. 28. Athens–St. Mary’s Duluth, GA 30096 1230 Baxter St. Endocrinology, gastroenterology, general surgery, Athens, GA 30606 hepatology, lab and radiology services (ultrasound Gastroenterology, nephrology, neurology and walk-in X-ray),1 nephrology, otolaryngology (ENT), rheumatology, sleep lab,1 urgent care 29. Athens–Hawthorne Avenue 1000 Hawthorne Ave., Suite S 22. Children’s at Snellville Athens, GA 30606 2220 Wisteria Drive, Suite 204 General surgery Snellville, GA 30078 30. Athens–Oglethorpe Avenue Sports physical therapy1 At Resource Medical 1500 Oglethorpe Ave. Athens, GA 30606 Neurosurgery, pulmonology

72 31. Athens–Oconee Campus 35. Thomasville Three Sixteen Professional Center In Archbold Medical Center Specialty Clinic 1181 Langford Drive, Building 200, Suite 101 100 Mimosa Drive Watkinsville, GA 30677 Thomasville, GA 31792 Orthopaedics and sports medicine Neurosurgery

32. Buford 36. Villa Rica 2914 Vinson Court In Tanner Medical Center Buford, GA 30518 705 Dallas Highway, Suite 301 Orthopaedics and sports medicine Villa Rica, GA 30180 Orthopaedics and sports medicine 33. Columbus In the Regional Pediatric Center 1A department of Children’s at Scottish Rite hospital 705 17th St. 2A department of Children’s at Egleston hospital Columbus, GA 31901 3Some physicians and affiliated healthcare professionals on the Children’s General surgery, neurosurgery, sickle cell Healthcare of Atlanta team are independent providers and are not our employees. 4The Surgery Center at Meridian Mark Plaza LLC is an affiliate of Children’s 34. Macon Healthcare of Atlanta. It is a joint venture with Scottish Rite as the majority owner and physician investors as partners. Physicians and affiliated healthcare In Piedmont Orthopaedic Complex professionals who perform services at the Surgery Center at Meridian Mark Plaza 4660 Riverside Park Blvd. LLC are independent providers and are not our employees. Macon, GA 31210 Orthopaedics and sports medicine

Visit choa.org/locations for information on services offered at each location.

73 74 TheCenterforAdvancedPediatricswillbeonyourleft • Turn leftatthefirstlightontoTullie Road • Turn rightoffexitrampontoGA-42S/NorthDruidHillsRoad • Take Exit89forGA-42S/NorthDruidHillsRoad • Traveling onI-85North Directions Atlanta, GA30329 1400 Tullie RoadNE Visitor information AdvancedPediatrics forCenter 5 exitpass $2 $3 2 to24hours $1 91 minutesto2hours Free 61 to90minutes 31 to60minutes 0 to30minutes follows: Parking ratesfortheCenterAdvancedPediatricsare as Parking TheCenterforAdvancedPediatricswillbeonyourleft • Turn leftatthesecondlightontoTullie Road • Turn leftoffexitrampontoNorthDruidHillsRoad(0.3mile) • Take Exit89forGA-42/NorthDruidHillsRoad • Traveling onI-85South (0.4 mile) smartphone ortablet. Play todownloadthefree Children’s app foryour phone. You canalsovisittheAppStore orGoogle link totheChildren’s mobileappdirectly toyour Text theword KIDSto770-766-3111receive a and directions. choa.org/locationsfordoor-to-doorVisit maps $5 $5 W

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©2018 Children’s Healthcare of Atlanta Inc. All rights reserved. MFP.969856.kc.01/18 Center for Advanced Pediatrics

Información para visitas

1400 Tullie Road NE Atlanta, GA 30329

Indicaciones para llegar Si viaja por la I-85 North  Tome la salida 89 hacia GA-42 S/North Druid Hills Road  Doble a la derecha al final de la rampa hacia GA-42 S/North Druid Hills (0.4 milla)  Doble a la izquierda en el primer semáforo en Tullie Road  El Center for Advanced Pediatrics está a la izquierda Si viaja por la I-85 South  Tome la salida 89 hacia GA-42/North Druid Hills Road  Doble a la izquierda al final de la rampa hacia North Druid Hills Road (0.3 milla)  Doble a la izquierda en el segundo semáforo en Tullie Road Visite choa.org/locations para obtener  El Center for Advanced Pediatrics está a la izquierda mapas e indicaciones de cómo llegar desde cualquier lugar. Estacionamiento Las tarifas del estacionamiento en el Center for Advanced Envíe por texto la palabra KIDS al 770-766- Pediatrics son las siguientes: 7111 para recibir directamente en su 0 a 30 minutos Gratis teléfono un enlace a la aplicación de 31 a 60 minutos $1 Children’s para celulares. También puede 61 a 90 minutos $2 visitar la App Store o Google Play para 91 minutos a 2 horas $3 descargar gratis la aplicación de Children’s en 2 a 24 horas $5 su smartphone o tableta. Pase para 5 salidas $5

75 Judson L. Hawk Jr., MD, Clinic for Children

About our multidisciplinary clinics

The Judson L. Hawk Jr., MD, Clinic for Children—located on the sixth floor of the Center for Advanced Pediatrics—offers multispecialty outpatient treatment for children with a wide range of medical and social complexities. By housing several outpatient services together, families have a place where they can receive coordinated care. This model builds upon the clinic concept that Judson L. Hawk Jr., MD, helped initiate more than 30 years ago.

Our clinics: 22Q Deletion Neurofibromatosis/Tuberous Sclerosis 22Q deletion, DiGeorge, Velocardiofacial Syndrome Skin abnormalities, neurological symptoms

Cerebral Palsy/Spasticity Neuro Spine Motor skills, muscle weakness Back and neck pain, herniated discs, spinal degeneration Differences in Sexual Development Ambiguous genitalia Pain Musculoskeletal, inflammation, abdominal pain Neurogastroenterology and Motility Abdominal pain, incontinence, constipation, difficulty Pelvic and Anorectal Care swallowing Hirschsprung’s disease, anorectal malformations, idiopathic constipation, pelvic and spinal tumors Genetics Developmental delay, pigmentary disorders, Café Spina Bifida au lait spots, neurofibromatosis, autism spectrum Hydrocephalus, bowel problems, mobility weakness disorders Strong4Life Medically Complex Care BMIs outside of height and weight range coupled Cerebral palsy, hypoxic ischemic encephalopathy with weight-related illness mitochondrial diseases Vascular Anomalies Muscular Dystrophy Hemangiomas, capillary malformations, vascular Spinal muscular atrophy, Duchenne, Becker, myotonic malformations, venous malformations, lymphatic diagnosis malformations, arteriovenous malformations

Revised: April 21, 2021

76 accessCHOA

ttin start in ass

What is accessCHOA? AaccessCHOA is a tool that provides real-time web access to patient information, comprised of different web pages or activities that correspond to different tasks. The activity that you use depends on what you want to accomplish. For example, if you want to see detailed information about a patients lab results, you can use the Results Review activity.

This tip sheet includes information to help you get started, including browser reuirements, and how to log in and log out. Each section contains information on how to accomplish the task, along with a picture of the activity for uick reference. Note that these images may differ slightly from what you see when you are using accessCHA.

Browser, system and connection requirements e strongly recommend a high-speed internet connection for optimal performance. our browser must be ava enabled, and you must use one of the following internet browsers to use accessCHA: • Microsofticrosoft Internetnternet ExplorerExplorer 8.0 8.0 or and 11.0 11.0 (for (for Microsoft icrosoft Windows indows platforms) platforms) • oilla Firefox 3.0 (for icrosoft indows platforms and ac S platforms)

ou also need a minimum screen resolution of 1024x68 pixels, and Adobe Reader must be installed to view documents.

Why use accessCHOA? This web application is designed to extend continuity of patient care by providing community physicians secure access to select patient information in the patients medical record. Typical users are physicians, physician assistants, nurse practitioners, nurses and office staff who reuire access to patient clinical, demographic and insurance information at Childrens.

sers must complete several steps to gain secure access to accessCHA. £° dentify individuals in your practice who will reuire access to accessCHA. Note that you must identify any physician or provider for whom you would like to see patient information. Ó° nclude all users who will need access to accessCHA on the New Practice Reuest For at accesschoa.org. e sure to complete all reuired information. • Complete the contact information section at the top of the form. • Enter the first name, middle initial, last name, ob title and/or practice role of each office staff member. • The last fourÊdigits of the -ocial -ecurity number is a Childrens standard for creating Epic ogin Ds for each nonemployed individual who will access confidential patient information. • An email address must be provided for each provider or other professional who will use accessCHA. The email address is used to return the users login information, and can also be used to notify users of certain patient events] such as a new lab result or admission.

77 ΰ nce all information is complete, submit the New Practice Reuest Form using the SÕL“ˆÌ button at the bottomÊ of the form. nce the practice and users are approved, an email with the users login information is generated andÊ sent to each user. {° Go to accesschoa.org to signÊin to the web application.

Note: First‡time users are asked to accept the Terms and Conditions° lick Accept.

How do I log in? £° Enter the following R: accesschoa.org Ó° Enter the ser ID that you received in your welcome to accessCHA email in the ser D field. ΰ Press T>L to move to the password field. Enter the passwordPassword that that you you received received in yourin your welcome welcome to toÊ accessCHA email. {° After you have entered your user D and password correctly, press E˜ÌiÀ, or click the og InÊbutton. x° ou will be prompted to change your password, which is reuired. È° hen the Ters and Conditions page appears, read the agreement and click Accept toÊacknowledgeÊ your agreement with the terms. ou are now logged in to accessCHA.

Note: Terms and conditions will appear when they are updated and on an annual basis.

. ou may be prompted to identify a department when logging in to accessCHA. f you see this screen, click on the magnifying glass,

and choose the accessCHA department.

f this is the most common way you log in to the system and would like to have accessCHA as your default department, contact us at 404-85- and we can make that change for you.

Note: f you see patients at our facilities and log in to hyperspace,» any changes to your default department in accessCHA will change your department there as well.

78 How do I log out? To maintain patient confidentiality] you need to log out, or use >Êsecure screen when finished or leaving the computer for any reason. There are two ways to do this:

1. Click to log out of accessCHA. The next time you log in] you are directed to your start page.

2. Secure the computer by clicking . hen you log back in] you are returned to the same page you were using before securing the screen. There is no need to navigate back to the page you were previously working on.

Show time-out warning After 20 inutes of inactivity, your accessCHA session will time out. f your session is about to time out, a warning message appears in the application banner. ntil you perform an action] such as clicking on a page or ÌÞ«ˆ˜}, the session times out.

What if I forget my password? See your site administrator or call the solution center at 404-85-.

Help and contact information For help using an activity, click on the web page.

Additional tip sheets can be found within the accessCHA application on the training page.

Contact the Childrens Solution Center at 404-85-Êif you have any uestions or concerns.

79 Referring patients to a Children’s Emergency Department

Children’s Healthcare of Atlanta believes effective communication between community pediatricians, urgent care physicians and our Emergency Department physicians is an important part of our shared goal to provide high-quality care to our patients. Before you transfer a patient, review the following information. This will help you and patient families better connect with our services. Do not send patients to the Emergency Department if they do not have a true emergent need. If you feel as though your patient warrants a direct admission, call the Transfer Center and discuss the case with the hospitalist on call. The patient may be able to bypass a trip to the Emergency Department depending on the complaint, the acuity, the workup that has already been completed and the comfort level of the admitting team.

Step 1: Call the Transfer Center at 404-785-7778 or 888-785-7778. We need to know: • The patient’s name, date of birth and sex. • The patient’s complaint and any other relevant medical, personal or other history. • The patient’s lab results. Send copies of all labs or verbally detail the lab values. • Relevant workup that has been completed for the patient. The Emergency Department physician will review this information to avoid any duplication. • Whether the patient needs air or ground transportation. • Your cell phone or after-hours contact information for the Emergency Department physician to use if they have questions regarding the patient; direct cell phone numbers are preferred rather than practice numbers, because patient arrival and workup times may take place after hours. • Whether you would like updates on your patient.

Step 2: Decide if you need to speak to an Emergency Department physician regarding an emergent patient. We need to know: • Your preferences or concerns regarding the patient. • Your patient’s specific symptoms and the disease process(es) you are concerned about.

Direct communication can help us better understand your specific concerns and your desired outcome for the visit. This may help to increase efficiency, enhance the patient experience and reduce unreasonable expectations.

Step 3: Advise the parents/guardians on next steps. • To help set proper patient family expectations, advise families that they may not see a specialist in the Emergency Department. The Emergency Department physicians will determine if the patient’s condition requires an immediate evaluation by a specialist. This is often not required. Emergency Department physicians will also determine if the patient needs diagnostic testing, admission, etc. • Tell them to keep the child NPO if you anticipate there may be a need for sedation or anesthesia. • They can download the Children’s mobile app to get step-by-step directions to a Children’s Emergency Department. This free app can be downloaded on a mobile device by searching for Children’s Healthcare of Atlanta on Google Play or the App Store. Visit choa.org/app to learn more. • Have them call 404-785-KIDS (5437) if they have questions or need to reach their child’s room after they have been admitted.

Following up on patients • Check accessCHOA for updates on your patient or visit the physician portal to review clinical guidelines. • If you need an update on a patient while he is in the Emergency Department, call the Transfer Center at 404-785-7778 or 888-785-7778. Representatives will attempt to connect you with the patient’s Emergency Department care provider. 80 Leadership team contacts Q: What is the difference between the Transfer Center and We’re here to help. Contact us if you need to connect with 404-785-DOCS (3627)? our leadership team regarding the Emergency Department. A: The Transfer Center, 404-785-7778, assists physicians and Primary contacts outside facilities with transfers into our system. The Transfer Reena Blanco, MD, Medical Director, Emergency Medicine Center helps with emergent patients and transport needs at Egleston hospital and consults on patients who need immediate or real-time [email protected] interventions and guidance. Mark Griffiths, MD, Medical Director, Emergency Medicine at Our main physician line, 404-785-DOCS, is not for Hughes Spalding hospital Emergency Department patients. This contact number helps [email protected] you connect to Children’s services for non-urgent reasons during business hours without having to remember multiple Jim Beiter, MD, Medical Director, Emergency Medicine numbers. at Scottish Rite hospital [email protected] Q: Will I be contacted once my patient is discharged? Srikant Iyer, MD, Chief, Emergency Services A: Yes. You will receive notification of patient discharge [email protected] through fax. We are aware that this process needs improvement and will continue to look for ways to improve For unresolved issues, contact our campus medical communication, specifically related to notifications of directors: patient death. We welcome your feedback on how we can • Scottish Rite: Michael Mallory, MD address your important concerns. [email protected] • Egleston: Stephanie Jernigan, MD Q: How can I help make sure that I get an update about my [email protected] patient? • Hughes Spalding: Lynn Gardner, MD A: Notify the Transfer Center that you would like an update [email protected] from the emergency physician and be sure to leave your direct cell phone or after-hours phone number where you can be reached. On average, it takes patients two to three Frequently asked questions hours to arrive at the Emergency Department following your At Children’s, we are committed to helping physicians referral. Evaluation and test results may take an additional experience a smooth transition from patient care in our system two hours. through discharge to the patient’s primary medical home. Q: What if my patient wants to go to the Emergency Q: Does the Children’s Transfer Center transfer patients Department because they need a diagnostic test or to all Children’s hospital campuses? want to get in sooner to see a specialist? A: Yes, the Children’s Transfer Center transfers patients to all A: We realize that many patient families do not wish to wait Children’s hospital campuses, including the Emergency for their appointment with a specialist or want to complete Departments at Egleston, Hughes Spalding and Scottish a diagnostic test after hours. These nonemergent visits to Rite. the Emergency Department affect our efforts to provide Q: Who do I call if I am not certain the patient needs to be care and efficient service. We are working to centralize transferred and wish to consult with an on-call pediatric referrals and reduce Children’s Physician Group wait times. specialist? We are growing our offerings in many key specialty areas and are providing single points of contact for patients and A: If you feel your patient may need to be transferred and wish physicians to improve patient access. We continue to rely to consult with an on-call specialist, contact the Transfer on your support to help patient families appropriately utilize Center anytime at 404-785-7778. A registered nurse will the Emergency Department. assist you in coordinating this consult. Visit the Children’s Physician Portal at md.choa.org for clinical guidelines and resources.

©2019 Children’s Healthcare of Atlanta Inc. All rights reserved. ED.964835

81 Pediatric endocrinology and obesity

A physician’s quick guide to helping children with obesity

At Children’s Physician Group–Endocrinology and Strong4Life, our goals are to diagnose pathological causes of obesity and manage endocrine complications of obesity. This document provides a synopsis of endocrine problems that commonly arise in general pediatric management of obesity.

Etiology of obesity • A diabetes education consultation or a referral to Strong4Life can be arranged through Children’s Healthcare Short stature or slow growth velocity in a growing obese child of Atlanta for children with prediabetes. is a red flag for a pathological cause. Obesity onset before age 5 is typical in children with a monogenic cause of obesity. High LDL cholesterol However, only 5 percent of children with early onset obesity • Ensure a fasting sample was obtained. have a known genetic case. • Take an average of two samples drawn two to 12 weeks apart Common conditions when patient is not acutely ill. • Check for primary disease-causing high LDL cholesterol Cushing syndrome (i.e., fasting CMP, TSH and urinalysis). This can be difficult to diagnose. Look for features beyond • For moderate elevation (130-189 mg/dL), lifestyle obesity and striae, including short stature, hypertension, management is recommended for all patients. If no response proximal limb muscle wasting or weakness, and diabetes. within six months, evaluate for the following risk factors: The overnight dexamethasone suppression test is used to – Hypertension evaluate the risk of Cushing syndrome. – Smoking • One dose of 15 mcg/kg (max 1 mg) dex po at 11 p.m., – Diabetes and check cortisol the following morning between 7 a.m. – Nephrotic syndrome and 9 a.m. – Renal failure • Cortisol should be <2.0 mcg/dL. – Renal transplant Diabetes – History of Kawasaki disease • Screen for diabetes every three years in asymptomatic, – HIV obese children ages 10 to 19 years old with a family – Chronic inflammation history of Type 2 diabetes, high-risk race or signs of resistance. There is no agreed upon best test (fasting – Cancer survivor glucose, random glucose, HbA1c). – Family history of premature • Insulin levels do not effectively predict future Type 2 • If a high-risk factor is present, the child may benefit from diabetes. lipid clinic consult. • Apart from lifestyle management, there is no approved • If LDL ≥190 mg/dL, a referral to the lipid clinic is therapy for children with prediabetes. Patients with recommended irrespective of risk factors present. prediabetes that persists after a serious effort to manage lifestyle for greater than six months may benefit from metformin treatment or an endocrine consult.

82 High fasting triglycerides Evaluating complications of obesity High triglycerides with low HDL cholesterol is common in obese children. Children with severely low HDL (<20 mg/dL) Thyroid function testing may benefit from a lipid clinic consult. • If initial thyroid-stimulating hormone (TSH) is high but <9 uIU/mL, palpate thyroid gland and repeat TSH and • Ensure fasting sample was obtained. Free T4. Get thyroid peroxidase autoantibody (TPO) and • Take an average of two samples drawn two to 12 weeks apart antithyroglobulin autoantibodies. when patient is not acutely ill. • If there is no goiter, TSH remains minimally elevated and • Check for primary disease-causing high triglyceride autoantibodies are both negative, TSH should return to (i.e., fasting CMP, TSH and urinalysis). normal after weight loss is achieved. • Abnormal levels that are <300 mg/dL may respond to • If there is a goiter present, TSH rises above 9 uIU/mL or lifestyle management plus or minus fish oil. either autoantibody is positive, a referral to endocrinology is • Levels >300 mg/dL may benefit from a lipid clinic consult. indicated.

Polycystic ovarian syndrome (PCOS) Contact us Normal variations in adolescents can make a PCOS diagnosis Call 404-785-DOCS (5437) to make a referral difficult using standard criteria. Minimum requirements for or for a physician-to-physician consult. diagnosis include: • Irregular or absent ovulation Visit choa.org/md for more information and to access our online referral form. • Clinical signs of high androgens (e.g., hirsute and severe acne)

Differential diagnosis of adrenal disease or an ovarian tumor can be evaluated with minimal investigation. • 17-hydroxyprogesterone • Free testosterone • DHEA-S • TSH • Fasting complete metabolic profile • Fasting lipid profile • hCG (urine or serum) • ± 25 (OH) vitamin D

A combined oral contraceptive pill (OCP) is the first line of therapy. Use OCP with low androgen activity. Consider the risk for thrombosis before starting oral contraceptive. Metformin is used by some, but it is not a Food and Drug Administration (FDA)-approved indication.

©2018 Children’s Healthcare of Atlanta Inc. All rights reserved. 968692.kc.04/18 83 Primary care guideline for new-onset seizure

First-time unprovoked nonfebrile seizure assessment

The recommendations in the following guideline • Generalized or focal movements do not indicate an exclusive course of treatment. • Respiratory symptoms (change in pattern or cyanosis) The intent is to build a multifaceted system of care • Autonomic symptoms (drooling, incontinence, pallor, vomiting) for pediatric patients and provide a framework • Decrease or loss of consciousness for clinical decision-making. • Duration of the seizure

Health history is key in determining if a seizure has Symptoms following seizure occurred and if it is the first episode. History should • Amnesia • Headaches be as detailed as possible and given from a reliable • Confusion • Muscle aches observer. This will help determine what further • Lethargy • Transient focal weakness evaluation is necessary. • Sleepiness • Nausea or vomiting In addition a complete physical exam, a complete neurologic Documentation should include: exam should be performed and documented. History • Age Lab evaluation • Family history of seizures For patients younger than 6 months old, there is some • Developmental status evidence to support lab screening in the absence of specific • Behavior suggested features. For patients older than 6 months old, • Health at seizure onset (fever, illness, exposures routine lab screens are not recommended for first nonfebrile to illness, sleep) seizures without suggestive history or symptoms. Suggested lab screens include serum electrolytes, including calcium and • Past medical history magnesium. • Precipitating events other than illness (trauma, toxins, ingestions) Lab tests should be ordered based on the patient’s clinical characteristics and history, such as vomiting, diarrhea, Seizure characteristics dehydration or persistent abnormal mental status. Detailed description of all aspects of the seizure, including: • If there is any concern for drug exposure or abuse, • Aura (subjective) perform a screening. • Behavior (mood or behavior changes prior to onset) • If case suggests meningitis or encephalitis, perform a lumbar puncture. • Vocal symptoms (cry, speech changes) • Motor symptoms, including, but not limited to: – Head or eye movements – Jerking – Posturing – Stiffening – Automatisms (lip smacking, finger rolling)

84 Electroencephalogram (EEG) recurrence for developmentally normal children with normal An EEG is recommended as part of the evaluation for all imaging and EEG is 33 percent. Risk of seizure recurrence children with a first-time unprovoked nonfebrile seizure to with an epileptiform EEG generally exceeds 70 percent. determine seizure classification and epilepsy syndrome. Treatment Diagnostic imaging If the first seizure is status epilepticus (a seizure that lasts at The goal of the initial imaging is to try to classify the seizures as least five minutes), consider initiating anticonvulsant therapy. focal or generalized. Physicians may consider providing a prescription for rectal Diastat to be used for subsequent seizure lasting longer than Many generalized seizures have focal onset, which is often missed five minutes. Remember to provide the guardian with seizure but frequently associated with focal epileptiform on an EEG, first-aid education, instructions on how to use Diastat and and therefore will be classified as a focal seizure with directions to call 911 the first time Diastat is given. second generalization. – The protocol for Diastat AcuDial is based on age and Emergent neuroimaging is indicated for children with weight: persistent postictal neurological deficits or for abnormal mental • Ages 2 to 5: 0.5 mg/kg status persisting for several hours after the seizure. Request an • Ages 6 to 11: 0.3 mg/kg urgent neurology consult. • Ages 12 and up: 0.2 mg/kg Nonemergent imaging is indicated in children with abnormal – Doses are available in 2.5 mg intervals, so dosages should development and/or a history of abnormal neurological be: 2.5, 5, 7.5, 10, 12.5, 15, 17.5 or 20 mg. examination if neuroimaging has not been done before. Nonemergent imaging is an MRI of the brain. – Diastat cannot be in doses larger than 20 mg for any age. – There is a smaller Diastat tip (4.4 cm) for smaller children After the second seizure or focal seizure, a nonemergent MRI (the larger tip is 7 cm). is always indicated. Children of all ages are possible candidates – The syringes are available in 2.5 mg, 10 mg and 20 mgs for neuroimaging. (the pharmacist should lock the syringe at the appropriate dose; green ring will appear when this is done). Diagnosis Identify the diagnosis Referral is indicated for: • Dx1 seizure type: focal or generalized • Prolonged, focal or second seizures or developmental • Dx2 epilepsy syndrome (remote): can be either delay/neurodevelopmental disability symptomatic or genetic • Findings on initial workup indicating underlying etiology – Symptomatic: Focal lesion on imaging, intellectual or true epileptic syndrome (developmental delay, abnormal disability, neurological abnormality, etc. neurological exam, abnormal neuroimaging or abnormal EEG) – Genetic (presumptive): Absence, juvenile myoclonic, • Patient or parental anxiety benign rolandic epilepsy, positive family history, etc.

Recurrence Documentation of medical history and physical, It is difficult to predict if a child will have a second seizure. including all indicated laboratory, neuroimaging and Many children will not have a recurrence. Risk for seizure neurodiagnostic studies, should be provided to the consulting physician. References Practice Parameter: Treatment of the child with a first unprovoked seizure: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. D. Hirtz, A. Berg, D. Bettis, C. Camfield, P. Camfield, P. Crumrine, W. D. Gaillard, S. Schneider and S. Shinnar. Neurology 2003: 60:166-175. Practice Parameter: Evaluating a first nonfebrile seizure in children: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. D. Hirtz, S. Ashwal, A. Berg, D. Bettis, C. Camfield, P. Camfield, P. Crumrine, R. Elterman, S. Schneider and S. Shinnar. Neurology 2000: 55:616-62

Acknowledgments A special thanks to Kids Health First and Joann Janas, MD, for their original protocol development, which is evidence-based and therefore part of this guideline. Kids Health First has been using this protocol for several years and have experienced positive outcomes with managing their patients with their first-time unprovoked seizure.

This guideline was developed through the efforts of Children’s Healthcare of Atlanta and physicians on the Children’s medical staff in the interest of advancing pediatric healthcare. This guideline is a general guideline and does not represent a professional care standard governing providers’ obligation to patients. Ultimately, the patient’s physician must determine the most appropriate care.

If your patient has an emergent or life-threatening condition, stop and call 911, or send him to the nearest hospital emergency department.

©2016 Children’s Healthcare of Atlanta Inc. All rights reserved. NEURO 965452.kc.10/16 85 Primary care guideline for new-onset seizure

First-time unprovoked nonfebrile seizure assessment

1. Obtain a detailed Seizure history: Age, family history of seizures, developmental status, history, physical and behavior, health at seizure onset, past medical history, precipitating events neurological exam (other than illness)

Seizure characteristics: Aura, behavior, vocal symptoms, motor, generalized or focal movements, respiratory symptoms, autonomic symptoms, decrease or loss of consciousness, duration of seizure

Symptoms following seizure: Amnesia, confusion, lethargy, sleepiness, headaches, muscle aches, transient focal weakness, nausea or vomiting

2. Consider diagnostic Lab testing testing • Under 6 months old—lab screens of serum electrolytes including calcium and magnesium • Over 6 months old—lab screening not recommended unless suspected: – Drug exposure (toxicology screening) – Meningitis or encephalitis (lumbar puncture)

Neurophysiology • Electroencephalogram (EEG) This test is recommended for patients of all ages. Inform the patient’s family that a neurologist will review and interpret the EEG. – When ordering an EEG, write “NOS” or “new-onset seizure” on the order form, and the test will be scheduled within three business days.

Visit choa.org/eegorderform to download the EEG order form.

Neuroimaging • MRI This test is only recommended for a second seizure. – When ordering an MRI, order one without contrast. Indicate the reason for the exam as “new-onset seizure” or “NOS” on the order form.

Emergent imaging and neurology consult are needed if the patient has: • Persistent postictal neurological deficits • Abnormal mental status persisting several hours after seizure

86 3. Identify diagnosis Identify diagnosis and treatment • Dx1 seizure type—focal or generalized (EEG can help classify) • Dx2 epileptic syndrome—symptomatic (abnormal MRI or neurodevelopmental disability) or genetic (presumptive)

Treatment • Prescribe the rectal gel Diastat as needed for recurrent seizure. • Provide the guardian with seizure first-aid education (turn patient on side and keep track of how long seizure lasts), instructions on how to use Diastat (if the seizure continues longer than five minutes, give Diastat rectally) and directions to call 911 after using Diastat for the first time.

4. Determine need for Referral is indicated for: referral to neurologist • Prolonged or second seizure • Developmental delay/neurodevelopment disability • Initial workup finding underlying etiology or true epileptic syndrome • Patient or parental anxiety

Neurologists are available for consultations Monday through Friday. • 8 a.m. to 5 p.m. • Phone: 404-785-DOCS (3627)

Documentation of medical history and a physical, including all indicated laboratory, neuroimaging and neurodiagnostic studies, should be provided to the consulting physician.

This guideline was developed through the efforts of Children’s Healthcare of Atlanta and physicians on the Children’s medical staff in the interest of advancing pediatric healthcare. This guideline is a general guideline and does not represent a professional care standard governing providers’ obligation to patients. Ultimately the patient’s physician must determine the most appropriate care.

If your patient has an emergent or life-threatening condition, stop and call 911, or send him to the nearest hospital emergency department.

©2016 Children’s Healthcare of Atlanta Inc. All rights reserved. NEURO 965452.kc.08/16

87 Radiology CPT codes

MRI/MRA

MRI head, neck, spine MRI shoulder, elbow, wrist,

Protocol or area of interest: knee, ankle MRI brain w/o 70551 Upper extremity joint w/o 73221 MRI brain w/ 70552 Upper extremity joint w/ 73222 MRI brain w/ and w/o 70553 Upper extremity joint w/ and w/o 73223 MRI epilepsy surgery protocol 70551 Lower extremity joint w/o 73721 MRI w/o (orbit, face, neck) 70540 Lower extremity joint w/ 73722 MRI w/ (orbit, face, neck) 70542 Lower extremity joint w/ and w/o 73723 MRI w/ and w/o (orbit, face, neck) 70543 MRI humerus, forearm, femur, MRI spine cervical w/o 72141 MRI spine cervical w/ 72142 tibia, fibula, foot MRI spine cervical w/ and w/o 72156 Upper extremity w/o 73218 MRI spine thoracic w/o 72146 Lower extremity w/o 73718 MRI spine thoracic w/ 72147 Lower extremity w/ and w/o 73720 MRI spine thoracic w/ and w/o 72157 Arthrograms MRI spine lumbar w/o 72148 Elbow 73085, 24220, 73222 MRI spine lumbar w/ 72149 Hip 73525, 27093, 73722 MRI spine lumbar w/ and w/o 72158 Shoulder 73040, 23350, 73222 Complete spine w/o 72141, 72146, 72148 Wrist 73115, 25246, 73222 Complete spine w/ 72142, 72147, 72149 Complete spine w/ and w/o 72156, 72157, 72158 MR angiography, venography, MRI chest, abdomen, pelvis cardiac Head w/o MRA or MRV 70544 MRI chest w/o 71550 Head w/ MRA or MRV 70545 MRI chest w/ and w/o 71552 Head w/ and w/o MRA or MRV 70546 MRI abdomen w/o 74181 Neck w/o MRA or MRV 70547 MRI FERRISCAN 74181 Neck w/ MRA or MRV 70548 MRI abdomen w/ and w/o 74183 Abdomen MRA or MRV 74185 MRI enterography w/o 74181, 72195 Pelvis MRA or MRV 72198 MRI enterography w/ 74182, 72196 Lower extremity MRA or MRV 73725 MRI enterography w/ and w/o 74183, 72197 Upper extremity MRA or MRV 73225 MRI pelvis w/o (i.e., hip) 72195 MRI pelvis w/ and w/o (i.e., hip) 72197 Cardiac MRI (Egleston only) MRI renal study (abd/pel) 74183, 72197 Chest MRA or MRV 71555 MRI abd/pelvis w/o 74181, 72195 Spectroscopy 76390 Brachial plexus w/o “shoulder” neuro 72141, 73221 MRI heart w/ and w/o contrast 75561 MRI fetal, first gestation 74712 MRI heart w/o contrast 75557 MRI fetal, each additional gestation 74713 MRI heart w/ and w/o, w/ stress 75563 MRI heart w/o, w/ stress 75559 MRI velocity flow mapping 75565 Heart iron quantification 74181

88 Radiology CPT codes

CT

Head, face, neck, sinus, 3D Extremities CT head w/o contrast 70450 L R CT upper extremity w/o 73200 CT head w/ contrast 70460 L R CT lower extremity w/o 73700 CT head w/ and w/o contrast 70470 CT orbit/sella/ear w/o contrast 70480 Angiography CT orbit/sella/ear w/ contrast 70481 CT angiography head 70496 CT neck w/ contrast 70491 CT angiography neck 70498 CT maxillofacial/sinus w/o contrast 70486 CT angiography chest 71275 CT maxillofacial w/ contrast 70487 CT angiography abdomen 74175 3D volume rendering/recon (PC) 76377 Spine CT cervical spine w/o contrast 72125 CT thoracic spine w/o contrast 72128 CT Lumbar spine w/o contrast 72131 Abdomen, pelvis, chest Abd/pel w/ (entire abd cavity) 74177 Abd/pel w/o (entire abd cavity) 74176 Abd/pel w/ and w/o (entire abd cavity) 74178 Chest/abd/pel w/ 74177, 71260 CT abdomen w/o contrast 74150 CT abdomen w/ contrast 74160 CT chest w/o contrast 71250 CT chest w/ contrast 71260 CT limited hip w/o contrast (spica) 76380 CT pelvis w/o contrast 72192

89 Radiology CPT codes

Fluoroscopy Ultrasound Voiding cystogram 51600, 74455 Retroperitoneal (Renal) 76770 Urine culture (from catheter) 87088 Kidney transplant 76776 Cystogram (non-voiding) 74430 Adrenals only (LTD retroperitoneal) 76775 Esophagram 74220 Abdomen 76700 Airway fluoro/diaphragm 70370 Doppler (vascular abdomen/renal) 93975 Upper GI series Abdomen limited (i.e., RUQ/pyloric) 76705 (through duodenum) 74240-74241 Hips (dynamic) (less than 6 months) 76885 Upper GI series through tube 74240-74241 Hips (static) (less than 6 months) 76886 UGI SBFT (esoph through colon) 74245 Pelvis, non-OB 76856 Barium enema 74270 Doppler transcranial (hospital only) 93886 Mod barium swallow OPMS 74230 Soft tissue head/neck 76536 Therapeutic enema 74283 Encephalogram (cranial) 76506 G-Tube check 74240 Scrotum 76870 Inject contrast check line 36598 w/ doppler 93975 Spinal canal/sacrum (less than 5 months) 76800 Nuclear medicine Chest 76604 Sedation possible <5yr or special need Breast(s) 76645 DEXA bone density 77080 Extremity, non-vasc compl. (i.e., mass) 76881 Nuclear cystogram 78740, 51701 Doppler (vascular extremity) 93971 Thyroid scan multi-uptake (I-123) 78014 HIDA 78226 w/ CCK 78227 Gastric emptying scan 78264 Meckels scan 78290 Kidney w/ lasix (MAG3/DTPA) 78708 Kidney w/o lasix (MAG3/DTPA) 78707 Kidney, static (DMSA) 78700 Lung scan perfusion 78580 Lung scan ventil and perfusion 78582 Brain scan w/ SPECT 78607 Bone scan w/ SPECT (78320) 78306 3 Phase bone scan (specify area) 78315 CSF shunt evaluation 78645 MIBG whole body SPECT 78802, 78804, 78803 GFR 78725

90 Radiology CPT codes

X-ray

Neck soft tissue 70360 Femur 1V 73551 Clavicle complete 73000 Femur (2 views) 73552 Chest (1/2 views) 71010, 71020 Knee (1/2 views) 73560 Infant chest w/ abdomen 74000, 71010 Tibia/Fibula (2 views) 73590 Ribs unilateral 2 views 71100 Ankle, 2/3 views 73600, 73610 Ribs bilaterial 3 views 71110 Foot (min 3 views) 73630 Ribs bilateral w/ chest (min 4 views) 71111 Toe(s) (min 2 views) 73660 Abdomen AP/decub/erect 74020 Shunt series 74020, 70250, 71020 Abdomen AP (KUB) 74000 Sinuses, <3/3+ views 70210, 70220 Pelvis (1-2 views) 72170 Skull, <4 views 70250 Hips unilateral w/pelvis, 1V 73501 Joint Survey 1 views, (rickets) 77077 Hips bilateral w/pelvis, 2V 73521 C-spine, 3 views or less 72040 Hips, 3-4V 73522 L Spine, 2-3 views (complete) 72100 Nose-rectum, foreign object 76010 Spine, entire TL, (scoliosis) 1V 72081 Shoulder (min 2 views) 73030 Spine, entire TL 2 or 3 views 72082 Humerus (min 2 views) 73060 Spine, entire TL 4 or 5 views 72083 Elbow (2 views) 73070 Spine, entire TL minimum of 6V 72084 Forearm (2 views) 73090 T-spine (2 views) 72070 Wrist (min 3 views) 73110 Skeletal survey 77075, 77076 Hand (min 3 views) 73130 Bone age 77072 Finger(s) (min 2 views) 73140 Bone length (i.e., scanogram) 77073

91 Sports medicine physician vs. sports physical therapist

A reference guide

These guidelines are intended to support your About our Sports Medicine Program clinical decision on whether your patient The Sports Medicine Program at Children’s Healthcare of Atlanta is one of the only programs in the country dedicated should see an orthopedic physician or a sports exclusively to caring for growing athletes. Our sports physical therapist. Follow the center categories medicine professionals, including sports medicine primary and choose the appropriate corresponding care physicians and sports physical therapists, deliver a complete package of care, from diagnosis to treatment and column based on your patient’s case history. rehabilitation. We have 14 orthopedic and sports medicine If the majority of responses fall in the acute clinics, and offer sports physical therapy at 11 locations across metro Atlanta. macrotraumatic injury column, we recommend Visit choa.org/md to access our referral forms or the patient see an orthopedic physician. Extremitychoa.org/ortho Pain for more information, including Upper/Lower Extremity Conversely, if most responses fall in the chronic orthopaedic ainjury list of our locations and providers. microtraumatic injury column, the patient may Extremity pain be sent directly to sports physical therapy. upper/lower extremity Back Pain Cervical/Thoracic & Lumbar/Pelvic Acute Chronic Back pain macrotraumatic microtraumatic injury injury cervical/thoracic and (overuse) lumbar/pelvic

Acute, traumatic Insidious or acute on chronic ONSET

Acute Chronic Typically weight bearing, Typically unknown macrotraumatic microtraumatic external force applied MECHANISM injury injury (overuse) Unable to participate Progressively diminished following injury PARTICIPATION tolerance following injury

At time of injury: Acute, traumatic or Typically atraumatic, chronic Variable pain acute on chronic ONSET pop, rip, “gave out” SYMPTOMS

Along bony landmarks PAIN Along soft tissues Present EDEMA Minimal or absent

Symptoms worsen Symptoms worsen with Pain, discomfort No pain or discomfort with extension MOVEMENT flexion or rotation AT REST

Continued participation Possible Absent Unable to participate RADICULOPATHY since injury ADLS/SPORTS with pain since injury

Pediatric sports Pediatric sports Pediatric sports Pediatric sports medicine physician medicine physician physical therapist physical therapist or orthopedist or orthopedist

If your patient has an emergency or life-threatening condition, stop and call 911 or send him to the closest hospital emergency department.

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