Contact Us & Application Form
Thank you for your interest in the Center for Pediatric Feeding Disorders at St. Mary’s. If you would like to schedule an evaluation for your child, please contact Jamie Gunning, the Program Coordinator at (718) 281-8541.
Kindly complete the application and submit it to the feeding center along with the growth chart and any pertinent medical records. In addition, a letter of medical necessity must be obtained from your pediatrician or GI doctor and submitted to us. Once we have received all the necessary paperwork, we will call you to schedule the feeding evaluation. Please note, clinic appointments are held on Tuesday mornings. After the child attends the evaluation it will be determined if he/she qualifies for the feeding program.
All documentation must be received by the center before the appointment can be scheduled:
- Completed Application Packet
- Growth Chart
- 3 Day Food Diary
- Notice of Privacy Practice
- Letter of Medical Necessity Template
Center for Pediatric Feeding Disorders
St. Mary’s Hospital for Children
29-01 216th Street
Bayside, NY 11360
Fax: (718) 281-8505