Children (newborn - 18 years) who display one or more of the characteristics below:

• frequent choking/coughing during/after meals
  
• gurgly respiration or voice quality
  
• chronic respiratory problems (such as pneumonia)
  
• poor weight gain associated with feeding difficulties
  
• new onset of refusing specific food thicknesses
  
• significant infant lethargy during feeds resulting in poor weight gain
  
• repeated swallows to clear food from mouth
  
• pauses in breathing or turning blue during feeds

How to Refer
Referral must be made by a physician. A brief description of the child's medical history and feeding and swallowing difficulties would be helpful.

Acute Pediatric Rehab Services
5 South, CHWO
London Health Sciences Centre
Phone 519-685-8500 Ext. 52400