CSHN clinic services are provided by teams that may include physician specialists, nurses, nurse practitioners, social workers, physical or occupational therapists, nutritionists, orthotists, speech and language specialists, audiologists, dentists and orthodontists. The make up of a particular clinic team will depend upon the specific needs of the children who are being served and the nature of the conditions that are being followed.
In addition to information about CSHN clinics, we have included some links to other Web Sites that may be sources of helpful information. While we have reviewed each of these links and are comfortable with their content, we cannot vouch for additional links they may provide.
- Cardiology Clinic is offered to children born with a heart problem or who develop one later. This clinic is held in Burlington, St. Johnsbury, Rutland and Brattleboro.
- See also: PediHeart Organization.
- Child Development Clinic is for children (generally under age 8) who may have a developmental delay or disability.
Please contact our central office in Burlington to find the clinic nearest you, and to discuss referrals or other resources, even if the child is older than 8.
Brochure: Child Development Clinic
Every child should be screened for developmental concerns by their primary care provider. The Child Development Clinic provides developmental evaluation for children who are thought to have a developmental concern, cognitive disability, or autism spectrum disorder, or a known condition affecting development.
The Child Development Clinic can:
• help make a diagnosis
• work with primary care and specialty care providers
• assist with early intervention and education
• assist with care coordination, including: team meetings, organizing services, referrals for community supports, and help completing applications
- See also: National Down Syndrome Congress.
- Cleft Palate Craniofacial Clinic is offered to children with cleft lip and/or palate or other craniofacial differences. Our clinic team provides medical evaluation, treatment planning and follow-up. We hold this clinic in Burlington and Rutland.
- Cystic Fibrosis Clinic is co-sponsored along with the Cystic Fibrosis Foundation. We provide comprehensive care to patients (both children and adults) through our clinic in Burlington.
- Epilepsy / Neurology Clinic is for children who have epilepsy or other conditions which call for pediatric neurology care. This clinic is held in Burlington, Rutland and Brattleboro. NOTE: In Rutland and Brattleboro, clinics also include children who have Muscular Dystrophy or other neuromuscular disease.
- See also: Epilepsy Foundation of America.
- Hand Clinic is held in Rutland and Burlington and is for children who have concerns about hand or arm function (or structure).
- Hearing Outreach Program (HOP) - provides hearing screenings for newborns and children up to 4 years of age.
- Hemophilia Clinic serves children who have bleeding disorders such as hemophilia or Von Willebrand’s Disease. This clinic is co-sponsored by the Vermont Regional Hemophilia Center and is held in Burlington.
- See also: National Hemophilia Foundation.
- Juvenile Rheumatoid Arthritis Clinic serves children with JRA and other related conditions. This clinic is held in Burlington.
- See also: Arthritis Foundation.
- Metabolic Clinic is for children who are born with hypothyroidism or metabolic diseases such as phenylketonuria (PKU). Clinics are held in Burlington and Rutland (PKU only).
- See also: National PKU News
- Muscular Dystrophy Clinic is for children with MD or other neuromuscular diseases. Clinic is offered in Burlington, Brattleboro and Rutland. (Rutland and Brattleboro clinics also include children with epilepsy.)
- See also: Muscular Dystrophy Association.
- Myelomeningocele Clinic serves children who have spinal cord conditions such as spina bifida or spinal cord injury. The clinic is held in Burlington.
- Orthopedic Clinic is for children who have complex bone, joint or neuromuscular conditions such as cerebral palsy, scoliosis and hip problems. Clinics are held in Barre, Bennington, Brattleboro, Burlington, Newport, Rutland and Springfield.
- See also: Pediatric Orthopedics.
- Rhizotomy Clinic is for children with cerebral palsy and who have had or might benefit from special neurosurgery to reduce spasticity. This clinic is held in Burlington.
- Special Services Program provides care coordination and specialized medical care to children who have severe, complex health conditions or who have an unexplained condition needing diagnosis. This care may be outside the CSHN clinic system or even out of state. A CSHN social worker or nurse coordinator may provide care coordination. This program is available to Vermont children, statewide.
- Adaptive Equipment & Seating Services assist with the recommendation and ordering of wheelchairs and other equipment to help children with positioning, mobility and independence. These services are available to children, statewide.
- Seating Clinics are offered in Burlington and Rutland. At these clinics, the child and family work with physical and occupational therapists, wheelchair technicians and the CSHN clinic coordinator to try out and recommend the equipment most appropriate for each child. In-depth fittings and evaluations are provided at these clinics.
- Nutrition Services are offered to children who have special growth, feeding and dietary needs and to their families. The CSHN state nutritionist coordinates a statewide network of certified dieticians who serve as consultants to CSHN programs.
- Children who have complex feeding concerns because of developmental or physical disabilities may be referred to the CSHN Feeding Team for evaluation and treatment planning.
- Respite Care for Families provides limited funds to families to offer a rest from their child care. Eligibility for Respite Care funding is based upon a family’s income and the specific needs of individual children.
- CSHN Financial Assistance: Limited financial assistance is provided for CSHN-covered services as authorized by the child’s clinic team and is available to enrolled families who request it. Application for financial assistance is entirely the choice of the family. A decision not to apply for assistance does not affect a child’s enrollment in CSHN programs in any way.
- While families are eligible for this assistance regardless of their income, families with higher incomes are expected to share in the cost of their children’s CSHN services through an annual deductible. The amount of this deductible is based on family size, family income and Medicaid status.
- CSHN Prescription Medication Program assists families with the cost of certain medications prescribed through our clinics and programs. Many Vermont pharmacies offer discounted rates for enrolled children.
Children with Special Health Needs
Vermont Department of Health
108 Cherry Street, PO Box 70
Burlington, VT 05402
Tel: 800-660-4427 or 802-863-7338