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Available to families are 11 different specialty clinics that provide assessments and care from a pediatric specialist or clinic team. The specialty clinics work with a child’s primary care physician to make a definitive diagnosis and or to enhance a child’s treatment plan.
Some clinics are sponsored by the Montana Department of Public Health and Human Services Children’s Special Health Services (CSHS) program and are free to families. All other clinics are fee-for-service.
The clinics offered through Pediatric Specialty Clinics are listed below. To schedule an appointment or for more information, call (406) 327-4279 or toll-free 1-888-506-9366, unless a separate number is listed for a clinic. The program’s nurse coordinator also can be reached at (406) 327-4329.
Cleft/Craniofacial Clinic: An extensive team, which includes a plastic surgeon, orthodontist, dentist, pediatrician, ENT provider, audiologist, nutritionist, nurse, speech therapist, psychologist and geneticist, collaborate together to provide a comprehensive diagnostic and therapeutic review for a child with cleft or craniofacial conditions. This is a free, CSHS-sponsored clinic.
Cystic Fibrosis Clinic: This periodic clinic is available under the direction of a pediatric pulmonologist and offers the expertise of a clinic team to address the chronic and acute concerns of the child or adult patient with cystic fibrosis. The team includes a pediatric pulmonologist, a respiratory therapist, a nutritionist, a social worker and a nurse. This is a fee-for-service clinic.
Endocrine Clinic: A visiting pediatric endocrinologist travels to the clinic campus several times a year. Offering evaluations, as well as treatment recommendations for a variety of known or suspected endocrine conditions, such as growth and puberty disorders, thyroid conditions, juvenile diabetes and many other endocrine conditions. Diabetic educators and nutrition consultants are also available for diabetic patients. This is a fee-for-service clinic.
Genetic Clinic: The Genetic Clinic provides a comprehensive genetic evaluation and recommendations to patients of any age with a suspected or known genetic disorder, to patients with concerns about prenatal exposure to drugs or alcohol, and to those who suspect they may be predisposed to cancer. Medical geneticists and genetic counselors from Shodair Hospital in Helena travel to Missoula to see patients in this clinic. This is a fee-for-service clinic.
Metabolic Clinic: This team clinic may provide an initial diagnosis and offers periodic evaluations to manage the very specific nutrition, developmental and other concerns associated with metabolic disorders, such as PKU. Working with the family is a metabolic specialist from Denver, with additional support from Nutrition, Nursing and Social Services and a psychologist. This is a free, CSHS-sponsored clinic.
Pulmonary Clinic: A pediatric pulmonologist holds periodic clinics to evaluate and monitor children with chronic pulmonary conditions, including asthma, respiratory infections, congenital respiratory conditions and other lung porblems. This is a fee-for-service clinic.
Nephrology Clinic: A visiting pediatric nephrologist and nurse from Seattle evaluate patients with kidney disease such as kidney failure, transplant patients, cystic kidneys, high blood pressure related to kidney disease and blood or protein in urine. This is a fee for service clinic.
Rheumatology Clinic: Children with joint pain, juvenile rheumatoid arthritis, goit disorders and immunologic disease are evaluated at this clinic. Diagnostic services are provided and ongoing care management is addressed, including school issues related to daignosis. This is a fee for service clinic.
NICU Follow-Up Clinic: Community Medical Center’s Follow-Up Clinic is for families that have had a baby in the NICU. The clinic provides evaluation and, if needed, referrals for early intervention for infants who were born early or were very ill at birth, helping them to “catch up” with other children. A clinic team assesses a child’s growth and development through a comprehensive multidisciplinary approach. The team is made up of nenatologists, physical and occupational therapists, and speech-language therapists. The free Follow-Up Clinic is held twice a month. To schedule an appointment or for more information, call the Child Development Center in Missoula at (406) 549-6413 or Rocky Mountain Neonatology at (406) 327-4234.
Muscular Dystrophy Clinic: This clinic provides clinical support to the Muscular Dystrophy Association as it holds quarterly clinics for children and adults with muscular dystrophy. This clinic offers medical evaluations by a neurologist and a physiatrist. Physical and occupational therapy evaluations are available, when indicated. Call MDA at 1-800-360-7160 for more information and to schedule an appointment.
Hemophilia Clinic: A medical team from Denver sees patients with various bleeding disorders. The team includes a physician, pediatric nurse practitioner, physical therapists and a social worker.
Neurology Clinic: Children with seizures, headaches, tics, neuromuscular weakness and developmental issues are evaluated at this clinic by a pediatric neurologist from Seattle. Diagnostic studies such as EEG's and MRI's can also be scheduled. This is a fee for service clinic.