Refer

The physician is critical in providing information to the therapist when writing a prescription for rehabilitation services. The primary responsibility of the physician is to provide accurate diagnostic information concerning the child's condition. Although the cause of the delay may not be apparent, the physician should provide information concerning the impairment.

In addition to the primary problem, other associated conditions should be included, as well as any precautions related to the conditions. An example would be a child with seizures and cerebral palsy. Seizure risk should be identified so that the therapists can be aware of any related potential medical emergencies. The physician is responsible for indicating any medical conditions that may be adversely affected by therapy, such as osteoporosis in a child taking steroids.

The prescription for therapy should include goals of therapy, therapy type, frequency, and expected duration of the therapy. The physician must be willing to work with the family and team of therapists to determine treatment time and duration. Close collaboration of the physician and the therapist is essential in maximizing the child's function and utilization of resources.

References American Academy of Pediatrics
Role of the pediatrician in prescribing therapy services for children with motor disabilities
Aug 1996 pediatrics vol 98 no 2 pages 308-310

There are times when referring a patient to colleagues outside your practice makes the most sense for the patient and for your practice. At Pathways, we encourage cross-disciplinary collaboration to promote optimal outcomes for children diagnosed with early motor delays.