Refer a Patient

We are now scheduling patients who meet the following criteria:

• BMI equal or greater than 95^th percentile
• The parent (or guardian) and child have verbalized the motivation to make nutritional and lifestyle changes. 
• The parent (or guardian) and child are committed to attending a 2 hour initial assessment visit at the Healthy Weight Center. 
• Your patient is between the ages of 5 and 17 years old

In addition to the Helen DeVos Children's Hospital new patient referral form, we ask that you complete a checklist that is available by calling 616.391.7999.

The checklist asks for medical diagnosis, psychiatric diagnosis, current specialists involved in patient care and current medications and doses.

The following are also required to accompany the referral:

• Growth charts birth to date (as available)
• Lab results within the calendar year (if performed)
• Most recent primary provider progress note related to weight