Care Coordination
Managing a child with complex medical needs means juggling multiple specialists, appointments, referrals, and questions, often all at once. Our Care Coordination team is here to help carry that load. We work alongside your family and your child's providers to make sure nothing falls through the cracks, and that you always know what's happening and what comes next.
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What Care Coordination Looks Like
Coordination
When your child's care involves multiple providers, keeping everyone on the same page is a full-time job. Our CC team manages communication across all involved providers so your family isn't the one passing information back and forth between specialists.
Connection
We serve as the link between your family, your child's primary care provider, and their broader healthcare team. That means tracking referrals and test results, coaching families through next steps, supporting transitions in care, and keeping communication flowing, in both directions.
Planning
Every patient receiving Care Coordination gets a written care plan that becomes part of their permanent electronic health record. It's a living document that keeps your child's full picture in one place and accessible to every provider involved in their care.
Is Care Coordination right for your family?
Our team identifies patients for Care Coordination based on a combination of factors. Your child’s primary care provider will determine if Care Coordination is appropriate — but families who often benefit include those navigating:
- Complex or chronic health conditions requiring multiple specialists
- Frequent hospitalizations or transitions between care settings
- Social circumstances that make accessing care more challenging
- Multiple ongoing referrals, tests, or follow-ups to track
Meet the Care Coordinators
Our dedicated Care Coordination team works closely with your child's providers to guide your family through every step of care.
Newberg, Portland, Tualatin 
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National Association for Down Syndrome
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Northwest Down Syndrome Association
Regional organization providing support, resources, and advocacy for individuals with Down syndrome and their families in the Pacific Northwest
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