Refer a Patient

Please fill out the new patient referral form and get it back to us.

To refer a patient to our clinic, we require the following before scheduling an appointment:

1. Chromosome karyotype
2. Most recent well-child visit note
3. Demographic information (insurance, name, DOB, address, contact number, guardian name)
4. NICU discharge summaries (for children less than 1, if available)
5. Any other pertinent health information (if available)

Please fax the documents to 404-778-8562. Attention: Hailey Campbell.

Once you have faxed the referral, please have the parents call 404-778-1363 to register their child with our clinic.

 To refer a patient, please call Jean Luan McColl at 404-778-8619.

Refer a Patient 

• Fax medical records, insurance information, demographics, and referral information to 404-778-
  8562 to “Attention: Lysosomal Storage Disease Center Scheduling”
• Call the Emory Lysosomal Storage Disease Center at 404-778-8565 or 800-200-1524 to discuss scheduling your appointment.

We see Lysosomal Storage Disease patients on the first and third Tuesday of every month. We will promptly schedule your appointment.

Please fill out the new patient referral form and supporting documentation.