MDT Referral Form
Please complete each of the fields below to request an MDT consultation (also known as a “Washington Evaluation”). If you have any questions about the referral form, please call 206-987-7932 or email us.
Due to a measles case in the community, please call before coming to Seattle Children’s if you or your child has potential measles symptoms.
Please complete each of the fields below to request an MDT consultation (also known as a “Washington Evaluation”). If you have any questions about the referral form, please call 206-987-7932 or email us.