Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Golisano Children's Hospital – UR Medicine, Developmental and Behavioral Pediatrics before sending sensitive documents. FaxFlow is not affiliated with this organization.
Golisano Children's Hospital – UR Medicine, Developmental and Behavioral Pediatrics fax number
(585) 742-4217
Intake - Developmental and Behavioral Pediatrics (Intake Coordinator)
Used for: Intake forms submission and related communications between families and the Developmental & Behavioral Pediatrics program
Fax destination details
- Department
- Intake - Developmental and Behavioral Pediatrics (Intake Coordinator)
- Purpose
- Intake forms submission and related communications between families and the Developmental & Behavioral Pediatrics program
- Form
- Intake form — Parent Questionnaire for New Patients
- Address
- 601 Elmwood Avenue, Box 278877, Rochester, NY 14642
- Voice phone
- 585-275-2986
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the Parent Questionnaire for New Patients and fax it to Developmental & Behavioral Pediatrics intake at UR Medicine. Include any required documents (e.g., most recent school testing, current IEP/504 plan). For submission details see the official form and instructions: https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/childrens-hospital/developmental-disabilities/ndbp-site/documents/Parent-Questionnaire-for-New-Patients.pdf
Official form instructions are published as a downloadable file on the organization's website.
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