To request an appointment for a FASD diagnostic evaluation at one of the Washington state FAS DPN clinics:

1. Call the University of Washington FAS DPN Clinic (206) 598-7666.
   OR
   email us at fasdpn@u.washington.edu with Appointment Request in the subject line, and the information in step 2 below in the body of the email.
   
   
2. You will be requested to leave the following information:
   
   
   1. Your first and last name.
      
      
   2. Your area code and telephone number.
      
      
   3. The first and last name of the person to be evaluated.
      
      
   4. The date of birth of the person to be evaluated (please tell us the month, day and year of birth).
      
      
   5. The address you would like the information to be sent to.
      
      
3. We will send you a New Patient Information Form to complete and return to the clinic. The form allows you to share with us your concerns about the patient and why you are seeking a diagnostic evaluation. To be seen in the FAS DPN Clinic, an individual must have a confirmed prenatal alcohol exposure history.
   
   
4. When we receive your completed New Patient Information Form, we will review it and send you a letter informing you of the status of your request and when you can expect to hear from the Clinic Coordinator to schedule an appointment.
   
   
5. The University of Washington FAS DPN clinic will forward your request to the Clinic Coordinator at the FAS DPN clinic site closest to you, with your permission. The FAS DPN clinics are located in Seattle, Everett, Spokane, Yakima, and Pullman.
   
   
6. If you would like to make a request directly to the other FAS DPN clinics, you may do so by using the information provided in the Clinic Locations section of this Web site.
   
   
7. To request a diagnostic appointment at a FASD clinic outside Washington State, click here to link to our web page that lists clinics across the U.S.