The Pediatric Subspecialties Clinic serves children, adolescents, and young adults. Our providers have expertise in a variety of specialties to meet complex health needs. Appointments may require a physician referral. Our services include:
- Adolescent Eating Disorders
Eating Disorders are complex illnesses that impact a patient’s biology, thought process and relationships with family and friends. The most common eating disorders seen in children, adolescents, and young adults are Avoidant/Restrictive Food Intake Disorder, Anorexia Nervosa and Bulimia Nervosa. The WMed Adolescent Eating Disorder Clinic provides outpatient consultation and medical management for children, adolescents, and young adults with eating disorders. Our service can also assist pediatricians at Bronson Children’s Hospital with inpatient medical stabilization.
The WMed Eating Disorders Clinic utilizes an evidence based approach to eating disorder therapy called Family-Based Treatment (FBT). Our outpatient model coordinates care with your community psychological and nutritional therapists along with parents and primary care providers to create a team of experts who will assist you in recovery. Patients in the clinic have access to our dietitian, as well as our integrated behavioral health experts and and social workers who can also assist in the coordination of your care and management of your symptoms.
- Adolescent Medicine
Teens go through a unique phase of development – physically, mentally, emotionally and socially. It is a time of great transition for not only teens, but parents as well. Our goal is to provide specialized care in a confidential and youth-friendly manner, as they transition into healthy, young adults. The adolescent clinical service works in the setting of integrated behavioral health with access to psychologists. In addition, we also access services of our medical social workers and dietician. For reproductive care, our clinic works in close collaboration with our gynecology clinical service. We provide a full range of care, including specific areas of significance for adolescents and young adults:
- Pubertal concerns
- Reproductive health care
- Contraceptive services
- STI screening and treatment
- Eating disorders
- Primary care sports medicine
- Health care for LGBTQ youth
- Health care for teens with chronic diseases
- Adolescent behavioral and mental health issues
- Allergy-Asthma-Immunology: Pediatric and Adult
We provide care for patients of all ages -- infants, children, adolescents, and adults. Our services include diagnosis and management of environmental allergies, asthma, food and medication allergies, chronic sinusitis, eczema, contact dermatitis, urticaria and angioedema, and primary immunodeficiency. Procedures include allergy skin testing, provision of allergen immunotherapy, pulmonary function testing and rhinoscopy.
- Autism Center
The WMed Pediatric Autism Center (WPAC) provides a full range of comprehensive assessment and diagnostic evaluation for autism spectrum disorder. Children can be referred by children’s primary care physicians, families can make direct appointments, and community based agencies may also request evaluations.
In addition, as of June 1 2018, WPAC was officially designated as an Approved Autism Evaluation Center (AAEC) by Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN). This designation means that we will now be able to provide evaluations for autism spectrum disorder (ASD) to our patients with BCBSM and BCN, which is a prerequisite to access Applied Behavior Analysis (ABA) therapy. As a result of this designation, WPAC will be able to offer ASD evaluations for patients with the entire spectrum of insurances, private and public.
- Comprehensive Autism Evaluations
Planning for Your Visit
A care coordinator will contact families to discuss what is needed for an autism evaluation, including caregiver assessments, which need to be completed before an appointment and insurance verification. The care coordinator will also provide a brief description of the evaluation day and answer any questions. The following is an example of the activities that occur on a typical evaluation day:
- One caregiver will complete ADI-R
- One caregiver will accompany the patient, who will complete a variety of assessments (cognitive, speech and language, and additional assessments as needed).
- Medical evaluation
- Autism Diagnostic Observation Schedule – Second Edition (ADOS-2)
Once the evaluation is complete, a feedback session will be scheduled on a subsequent date.
- All insurances accepted including Medicaid
- Our care coordinator will verify insurance coverage, including copays and deductibles, before each appointment
Referrals to WPAC can be made by physicians, psychologists, social workers, other health care/mental health care providers, and schools by completing the subspecialty referral form and new patient form, and faxing the forms to 269.337.6434. Providers with access to EPIC can make a referral directly to - Meds and Orders > Referral > Ambulatory referral to WMed Pediatric Behavioral Health > Roger Apple
Families can directly refer to WPAC and schedule an appointment by calling our care coordinator at 1-269-337-6430 or contacting our clinics referral department at 269.337.6289.
Kenneth Holda, CCC-SLP
- Developmental-Behavioral Pediatrics
We work in collaboration with Pediatric Psychology to offer diagnostic evaluations, and provide ongoing medical management and family guidance for resources for children and adolescents with a wide range of developmental and behavioral conditions including:
- Autism spectrum disorder
- Attention deficit hyperactivity disorder and other disruptive disorders
- Anxiety, depression, and mood disorders
- Developmental delay and intellectual disorders
- Specific learning disorders
- Metabolic Genetics: Pediatric and Adult
Our service can provide consultations on diagnostic evaluations and treatment plans for families diagnosed with or suspected of any inborn error of metabolism (IEM) disorders. IEMs are rare genetic or inherited metabolic disorders resulting from an enzyme defect in biochemical or metabolic pathways. IEM can present itself anytime in a lifetime -- during pregnancy, in the newborn period, early childhood, late childhood, or adolescence to adulthood. IEM can have a wide clinical presentation from growth or feeding problems, anemia to seizures, low tone or developmental delay leading to permanent brain damage, to even death and exposure to common childhood illnesses. The Michigan Newborn Screening Program helps detect many treatable but not all treatable and non-treatable IEMs. IEMs, individually are rare, but collectively are as common as diabetes. Patients determined to require specialized nutritional assessment or enzyme replacement therapy or transplant will be referred to larger metabolic centers.
- Oral Cleft Multidisciplinary Care and Multiple Disability Multidisciplinary Care
We serve as a resource for the region, providing multidisciplinary care and consultation for children, adolescents, and young adults with a variety of genetic, congenital, and developmental disorders. The care team consists of providers from pediatrics, orthopaedics, psychology, dietary services, speech, occupational and physical therapy, orthotics, and social work. We focus on diagnostic and interventional care. Appointments are by physician referral only.
Many of our patients are covered by Children's Special Health Care Services. This allows us to provide enhanced services that include services provided by a nutritionist, physical therapy, psychology and dentistry providers, in addition to our care team. The State of Michigan allows children diagnosed with multiple disabilities one comprehensive visit, three follow-up visits, and 10 supplementary visits per year.
- Pediatric Endocrinology and Diabetes
We provide care for infants, children, and adolescents with diabetes and other endocrine disorders. Care of endocrine disorders is a team effort, so we provide you and your child’s primary care physician with support, resources, and information you need to care for your child. Appointments are by physician referral only.
Services we provide include treatment of:
- Adrenal disorders
- Calcium disorders
- Disorders of growth
- Disorders of puberty
- Endocrine conditions acquired during cancer therapy
- Endocrine needs for girls with Turner Syndrome
- Growth evaluation and treatment for children with Prader-Willi Syndrome
- Pituitary disorders
- Thyroid disorders
- Pediatric Psychology Services
Pediatric psychology services are provided for children and adolescents. Our services include intake interviews, integrated behavioral services, diagnostic interviews, autism evaluations, and evaluations for the full range of behavioral problems. Evaluation services include cognitive testing, achievement testing, language testing, affective screening, ADHD screening, adaptive screening, and neurological screening.
Pediatric Psychology Intake Interviews
These sessions are for children and adolescents who have been referred by their primary care physician for varying concerns and the sessions are designed to discuss main concerns and determine the best course of action. Next steps may include:
- Autism screening
- General screening
- Referral to outside agencies for further support
- A full evaluation
Integrated Behavioral Health Service
Our Behavioral Health consultants will work directly with our residents and physicians in the Pediatrics Clinic providing behavioral health consultation, evaluation, brief intervention, and referral.
Pediatric Psychology Diagnostic Interviews
We conduct diagnostic interviews after a child or adolescent and their caregivers have participated in an intake interview. The interviews are designed to obtain more in-depth information to assess the need for additional psychological evaluation.
Autism evaluations for patients are performed by a team of psychologist and developmental-behavioral pediatrician.
We perform full psychological evaluations for our patients with multiple concerns. These evaluations encompass the following:
- Cognitive testing
- Achievement testing
- Language Testing
- Affective Screening
- ADHD screening
- Adaptive screening
- Neurological screening
- Pediatric Pulmonology, Pediatric and Adult Cystic Fibrosis
We provide comprehensive care for pediatric patients with respiratory tract problems. Services we provide include treatment of acute and chronic lung diseases, asthma care, care for children with disabilities and respiratory problems, care for adult and pediatric patients with cystic fibrosis in our multidisciplinary Cystic Fibrosis Center, and care for patients with ventilator needs. The cystic fibrosis program also extends through a transitional clinic for adult patients.
- Pediatric Sleep Medicine
The Pediatric Sleep Medicine service provides care for infants, children, adolescents and young adults for a full range of concerns related to sleep. Many sleep concerns in children and adolescents may also have behavioral component; our clinic works collaboratively with our pediatric psychology team to address such concerns. Diagnostic testing including sleep studies will be ordered as indicated; we work collaboratively with the Bronson Sleep Health laboratory and program.
Sleep related concerns seen in our clinic include:
- Disorders in control of breathing
- Central and obstructive apnea
- Restless leg syndrome
- Periodic limb movement disorder
- Circadian rhythm disorder
- Difficulty initiating or maintaining sleep
- Excessive daytime sleepiness
- Sleepwalking, sleep talking, and sleep eating disorders
- Nightmares and night terrors
- Other sleep issues
Our clinics are located at 1000 Oakland Drive on the 2nd floor in Kalamazoo, Michigan. Parking is available adjacent to the WMed Clinics building. Our clinics are a non-smoking environment. We strive to provide a clean environment for our patients.
Fees and Insurance
Our clinics participate with many insurance providers. Before you first visit, check with your insurance company to understand what services will be paid for by your insurance plan. For every appointment, you will need to bring your insurance card(s). Co-pays are due at the time of service and accepted forms of payment are cash, check, MasterCard, Visa, and Discover. If you have questions, our patient financial counselors we are ready to help you. Please call our Billing Department at 269.337.4460.