Refer a Patient Motion Analysis and Human Performance Laboratory

If you are a patient, please visit the Motion Analysis and Human Performance Laboratory for more contact, scheduling, and location information.

Referring Provider Instructions

To refer your pediatric patient to the Motion Analysis and Human Performance Laboratory, please select the reason for referral and complete the following steps.

Clinical Gait Analysis

Review referral criteria
To ensure that your patient receives the best possible care, please review the referral guidelines below and submit the requested information.

Patients should meet the following criteria:
- Gait impairment related to a neurological, orthopedic, or developmental disorder (for example: cerebral palsy, spina bifida, spinal cord injury, traumatic brain injury, cerebral vascular accident, genetic disorder, hereditary spastic paraparesis, idiopathic toe walking, etc.)
- Able to walk under their own power for a minimum of 10 feet without stopping. The patient must be able to walk this distance at least 10 times to complete the gait study.
  - If needed, the patient may use any of the following assistive device(s): cane, crutches, standard anterior walker, or standard posterior walker. However, the gait study cannot be performed for patients who use a gait trainer or a walker with a hip belt (or pelvic support).
  - For patients classified as GMFCS IV, please contact the Motion Analysis Lab at 936-267-6686 to determine whether the patient is appropriate for referral.
- Able to follow verbal commands
- At least five (5) years of chronologic age or greater, or behavior consistent with 5 years old
Download and complete the online referral form

Clinical Gait Analysis Referral Form

Fax form to: 832-825-5209
Provide patient with Welcome Packet

Welcome Packet - Clinical Gait Analysis

We will submit pre-authorization to confirm insurance coverage and contact the patient’s parent/caregiver to schedule the patient’s visit at the Motion Analysis and Human Performance Laboratory.

To check on the status of a referral or for program related questions, please contact the Motion Analysis and Human Performance Laboratory at 832-826-6162 (Angela Joiner Johnson) or 936-267-7143 (Amy Barbuto).

Need Help?

If you are a referring provider’s office needing referral assistance or a provider needing to speak to an on-call specialist, please contact the Provider Connect team, M-F 8a-5p, excluding holidays:

Phone: 832-TCH-CARE (832-824-2273)
Toll-Free: 877-855-4857
Email: providerconnect@texaschildrens.org

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Refer a Patient Motion Analysis and Human Performance Laboratory

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