Additional Services at Haverford

Medication refill requests

  • Call 610-658-0999 and follow the prompts, or log on to MyCHOP to request medication refills.
  • Medication refill requests take up to three business days to complete.
  • A nurse may call you if an appointment is required to complete the request.

Specialist referrals

  • Call 610-658-0999 and follow the prompts, or log on to MyCHOP to request a specialist insurance referral.
  • Referral requests take three business days to complete.
  • If your primary care provider did not refer you to the specialist, a managed care coordinator may contact you for additional information. This may delay the referral.

Form completion

Download forms here.

During the visit:

  • Please bring all forms needed to scheduled visits to be completed free of charge.
  • Please complete all personal information in advance.

Outside the visit:

  • All form requests take 7 to 10 business days to complete. Please allow this time for processing. A fee of $10 is required for forms not completed during a visit. A fee of $20 is required for any expedited form requests, completed within 24 hours.

Medical records requests

  • Log on to MyCHOP first to check for the information you need.
  • You can request a copy of your child’s medical records at any time by completing a HIPAA release form in the office.
  • Please note that requests for the full medical record may take 14 business days to process.

Behavioral health services

The Healthy Minds, Healthy Kids (HMHK) initiative at CHOP integrates behavioral health providers within primary care teams. They provide behavioral health interventions in collaboration with pediatric primary care providers. If longer-term treatment is necessary, the HMHK provider works with the PCP and the family to support appropriate community-based referrals.

Brie Dorian, LCSW appointment hours:

  • Monday - Wednesday: 9 a.m. - 5:30 p.m.
  • Thursday: 9 a.m. - 12 p.m.