Heartspring, a worldwide center for children with special needs
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Pediatric Services

To register your child for KidCheck, please fill out the form below. Your contact information will be forwarded to the Heartspring Pediatric Services Intake Coordinator. You will receive screening materials in the mail within 5 business days.

Parent Information

Child Information

(i.e. child born at 37 weeks)

A Service of Heartspring Pediatric Services
www.heartspring.org/kidcheck
8700 East 29th Street North Wichita, KS 67226
316.634.8710 800.835.1043