Department of Medical Assistance Services
REQUEST FOR SCREENING FORM AND
CHILD DEVELOPMENT CLINICS (CDC) SCREENING REGIONS
If you wish to be screened for the DD waiver, please follow link below to download and fill out form, and submit it to the Child Development Clinic or other facility nearest to your area.
NORTHERN VIRGINIA
Alexandria
Serving the City of Alexandria
  • Veronica Aberle, Nurse Manager
  • Alexandria Health District
  • 4480 King Street
  • Alexandria, VA 22302
  • Phone: (703) 746-4921
  • Fax: (703) 746-4938

  • E-mail: Veronica Aberle
Arlington
Serving the county of Arlington
  • Margaret Jones, Contact Person
  • Parent Infant Education Program
  • Infant and Toddler Connection of Arlington
  • 2100 Washington Blvd., 2nd. Floor
  • Arlington, VA 22204
  • Phone: (703) 228-1640
  • Fax: (703) 228-1126

  • E-mail: Margaret Jones
Fairfax
Serving the county of Fairfax and Cities of Fairfax and Falls Church.
  • Terri Morris, RN, BSN, PHN III
  • Long Term Care Services Specialist
  • Fairfax County Health Department
  • 10777 Main Street
  • Fairfax, VA 22030
  • Phone: 703-246-8631

  • E-mail: Terri Morris
NORTHWEST
Harrisonburg
Serving the Counties of Augusta, Bath, Clarke, Fauquier, Frederick, Greene, Highland, Loudoun, Madison, Page, Rappahannock, Rockbridge, Rockingham, Shenandoah, and Warren, and; Cities of Buena Vista, Charlottesville, Harrisonburg, Lexington, Staunton, Waynesboro, and Winchester.
  • Shenandoah Valley Child Development Clinic
  • James Madison University
  • 601 University Boulevard, MSC 9011
  • Harrisonburg, VA 22807
  • Lynn Skirven, MSW
  • Phone: (540) 568-3885
  • Fax: (540) 568-3875
  • Clinic Phone: (540) 568-6687

  • E-mail: Lynn Skirven
CENTRAL VIRGINIA
Richmond
Serving the Counties of Amelia, Brunswick, Caroline, Charles City, Chesterfield, Culpeper, Cumberland, Dinwiddie, Essex, Fluvanna, Gloucester, Goochland, Greensville, Hanover, Henrico, James City, King and Queen, King George, King William, Lancaster, Louise, Lunenburg, Mathews, Mecklenburg, Middlesex, New Kent, Northumberland, Nottoway, Orange, Powhatan, Prince Edward, Prince George, Prince William, Richmond, Spotsylvania, Stafford, Surry, Sussex, and Westmoreland, and Cities of Colonial Heights, Emporia, Fredericksburg, Hopewell, Manassas, Manassas Park, Petersburg, Richmond and Williamsburg.
  • Sandra Edmonds, R.N., Clinic Director
  • Virginia Commonwealth University Child Development Clinic
  • 3600 West Broad Street, Suite 115
  • Richmond, Virginia 23230
  • Phone: (804) 827-2100
  • Fax: (804) 827-2102

  • E-mail: Sandra Edmonds
EASTERN VIRGINIA
Norfolk
Serving the Counties of Accomack, Isle of Wight, Northampton, Southampton and York, and; Cities of Chesapeake, Franklin, Hampton, Newport News, Norfolk, Portsmouth, Poquoson, Suffolk, and Virginia Beach.
  • Diane Waschler, Social Worker
  • Children's Hospital of the King's Daughters (CHKD)
  • 400 Gresham Drive
  • Norfolk, VA 23507
  • Phone: (757) 668-5254
  • Fax: (757) 668-7950

  • E-mail: Diane Waschler
SOUTHWEST VIRGINIA
Roanoke
Serving the Counties of Alleghany, Amherst, Appomattos, Bedford, Botetourt, Buckingham, Campbell, Carroll, Charlotte, Craig, Floyd, Franklin, Giles, Halifax, Henry, Montgomery, Nelson, Patrick, Pittsylvania, Pulaski, Roanoke and Wythe and; Cities of Bedford, Covington, Danville, Galax, Lynchburg, Martinsville, Radford, Roanoke, Salem and South Boston.
  • Carilion Clinic Children’s Hospital
  • 1030 S. Jefferson Street, SW, Suite 201
  • Roanoke, VA 24013
  • Lynne Linkous, MSW
  • Phone: (540) 224-4520

  • E-mail: Lynne Linkous, MSW
Gate City
Serving the Counties of Bland, Buchanan, Dickenson, Grayson, Lee, Russell, Scott, Smyth, Tazewell, Washington, Wise, and Wythe and; Cities of Bristol and Norton.
  • Carolyn Hubbard, LCSW, Director
  • Southwest Virginia Child Development Clinic
  • 112 Beech Street, Suite 1
  • Gate City, VA 24251
  • Phone: (276) 386-3803
  • Fax: (276) 386-2116

  • E-mail: Carolyn Hubbard