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Referrals Must Include
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Well Child Check
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DMS 693 (Medicaid)
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Psychological Evaluation
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Speech Evaluation (If available)
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Referral Prescription
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List of Specialist
Please send all referrals by fax: 870-565-9740
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Well Child Check
DMS 693 (Medicaid)
Psychological Evaluation
Speech Evaluation (If available)
Referral Prescription
List of Specialist