Several specialty clinics in the Unified Clinics at Western Michigan University require referrals before you can be seen by clinicians. Look below for forms and procedures to help you get an appointment at the clinic you would like to attend.
No referral required. Call (269) 387-8047 to schedule an appointment.
Behavioral Health Services
No referral required. Call (269) 387-8230 to schedule and appointment.
The following forms may be filled out before your appointment to save time at check-in.
If you are a patient of Behavioral Health Services and would like authorize the use and disclosure of your confidential medical information, please complete this form and email it to Laura Hoskins or fax it to (269) 387-7026.
Children’s Trauma Assessment Center
Please find the instructions here for referrals to the Southwest Michigan Children's Trauma Assessment Center.
Language, Speech and Hearing Clinic
Speech-Language Evaluation and Treatment:
The speech-language clinic takes referrals from any source, including personal referrals from friends or family members. Individuals or agencies may contact the clinic to request an application for services (evaluation or treatment). Once the application is received, the clinic will contact the applicant to set an evaluation appointment, or the clinic will add the applicant to a wait list for services for the upcoming semester.
Please fill out the appropriate form(s) and either email, fax to (269) 387-7026, or mail to WMU Unified Clinics, 1000 Oakland Drive Kalamazoo MI 49008-5361. Call (269) 387-7059 for more information.
For Aphasia Communication Enhancement (ACE), Preschool Language Intervention Program (PLIP) or general clinic services:
- Adult application for speech and language evaluation
- Spanish application for speech and language evaluation
- Child application for speech and language evaluation
- English as a Second Language application
- Client availability for therapy form
For voice, respiration and/or resonance services:
For release of medical records:
The Preschool Language Intervention Program:
The Preschool Language Intervention Program (PLIP) takes referrals from community providers, school systems, and self referrals from parents. Please call (269) 387-7145 for a phone intake and more information about PLIP.
Occupational Therapy Clinic
Finicky Feeders, Pediatric, Skills for Living, Work to Work:
The Occupational Therapy (OT) Clinic does not require a physician referral. However, you must complete a phone intake to be seen by a clinician. The clinic supervisor reviews the phone intake information and informs clients whether they can be seen at one of the clinics. If the clinics are full, the client can be placed on a waiting list.
Please call (269) 387-7074 for additional information and to complete a phone intake.
No referral required. A 30 to 45 minute intake session is scheduled with prospective clients. This appointment serves to inform the client of the procedures of the clinic and also to obtain more information regarding the client's specific concern. Please call
(269) 387-8302 to schedule an intake session.
Because of the training nature of the clinic, the wait list is not handled on a first-come, first-served basis. We cannot guarantee when your case will be assigned to a therapist. However, we will regularly inform you of your status on the waiting list. We make every effort to serve as many clients as we can.
General and Low Vision Optometric Services:
No referral required. Call (269) 387-7064 to schedule an appointment.
Western Evaluation Center for Autism and Neurodevelopmental Disorders (WECAN)
Physician referral is required for a diagnostic evaluation. Please complete our referral form, and fax the completed form and accompanying medical records to (269) 387-7026, ATTN: WECAN.
Please visit our website for more information about the referral process, preparing for your appointment and scheduling.
Insurance - Please verify that your insurance company covers autism evaluations.
WECAN at Western Michigan University participates with the following insurance plans:
- Blue Cross Blue Shield
- Blue Care Network
- Beacon Health Options
To help you understand if your insurance plan will reimburse an AAEC evaluation at the Western Evaluation Center for Autism and Neurodevelopmental Disorders at WMU, we have created a list of commonly used codes by providers. Please note that other codes may be used at the providers' discretion related to the services provided.
Women’s Health Clinic
No referral required. Call (269) 387-7000 to schedule and appointment.