CRS Clinics

The following is an alphabetical listing of CRS Clinics.  Every type of clinic is listed along with its purpose, the diagnoses covered and a statement regarding the goals of the clinic.  It should be noted that every type of clinic is not available in every CRS office location.  Please contact the CRS office in your area of the state to determine the location of the clinic of interest to you.

Amputee Clinic

Purpose: To increase function of individuals with amputations.

Diagnoses: Congenital and post-traumatic amputations, as well as other diagnoses that may require a prosthesis, such as transverse deficiencies of an extremity.

Goals: To provide assistance in the evaluation for a prosthesis, preparation for a prosthesis and securing a prosthesis, as well as patient education related to care and usage.

Arthritis Clinic

Purpose: To provide a multidisciplinary clinic approach to the treatment of rheumatologic conditions in children.

Diagnoses: Juvenile rheumatoid arthritis (systemic, polyarticular, pauciarticular ormonarticular), systemic lupus erythematous, dermatomyositis, polymyositis and others.

Goals: To provide early detection, diagnosis and a coordinated, comprehensive continuum of care to minimize functional limitations and provide for the physical, psychosocial, economic and career well-being of children with arthritis and their families. (A physician’s referral is required in order to schedule a client to clinic.)

Augmentative Communication/Technology Clinic 

Purpose: To provide evaluation and technical assistance related to augmentative communication and assistive technology for individuals with disabilities utilizing a team approach.

Diagnoses: Neuromuscular diseases, neuro-motor disorders, traumatic brain injury (TBI), various genetic syndromes; dysarthria, aphasia, spinal cord injuries and others.

Goals: To provide appropriate team evaluation, consultation, technical assistance, orientation and training, intervention planning and referral in a coordinated system of care so as to meet the functional needs of clients and allow them to reach their maximum potential.

Cerebral Palsy Clinic (includes Neuro-Ortho Clinic)

Purpose: To evaluate, diagnose and treat the multiple needs of individuals with cerebral palsy through a multidisciplinary team.

Diagnoses: Various forms of cerebral palsy and similar conditions.

Goals: To maximize function and improve quality of life for individuals with cerebral palsy and their families.

Cleft Palate Clinic

Purpose: To provide a multidisciplinary team approach for the evaluation and treatment of children with cleft palate and related conditions.

Diagnoses: Cleft lip, cleft palate, velopharyngeal incompetency, short palate, submucous cleft, Apert's Syndrome, Pierre Robin's Syndrome, Crouzon's Syndrome, alveolar notch and medically necessary orthodontia.

Goals: Correction of cleft lip and palate and related conditions so as to allow the patient to reach his or her maximum potential.

Cystic Fibrosis Clinic

Purpose: To provide state-of-the-art care for patients with Cystic Fibrosis.

Diagnoses: Cystic Fibrosis, an autosomal recessive disease, diagnosed using the National Cystic Fibrosis Foundation criteria.

Goals: To assure that children with Cystic Fibrosis achieve and maintain maximum habilitation or rehabilitation throughout life.

Eye Clinic

Purpose: To evaluate and treat ocular disease and/or chronic moderate to severe visual impairment.

Diagnoses: cataracts, esotropia, exotropia, hypertropia, myopia, glaucoma, macular degeneration, amblyopia, optic atrophy, bilateral refractive errors and others.

Goals: To evaluate and treat eye disease and maximize the functional skills of patients with vision loss.

Feeding Clinic

Purpose: To provide interdisciplinary evaluation of feeding problems related to the patient and family; to anticipate future feeding problems and to recommend processes that will enhance nutritional status.

Diagnoses: Inability or refusal to eat certain foods secondary to neuromotor dysfunction, obstructive lesions and/or psychosocial factors.

Goals: To develop individualized plans through a team approach for safe, effective and efficient means of accomplishing adequate nutrition.

Genetics Clinic

Purpose: To identify specific diseases in families and to assist families in understanding the nature of the condition and the risk of recurrence.

Diagnoses: inherited disorders such as spina bifida, hemophilia, neurofibromatosis, seizures and many others.

Goals: To seek the cause of family disorders, multiple birth defects and disabling conditions. Once identified, the goal is to prevent complications, treat the condition and prevent recurrence in other family members.

Hearing Clinic

Purpose: To provide otolaryngology services and supporting audiological services as time permits to children with hearing loss and/or chronic ear disease.

Diagnoses: Chronic otitis media, ossicular chain abnormalities, tympanic membrane

perforation, atresia, other causes of conductive hearing loss, sensorineural hearing loss and others.

Goals: To provide otologic and audiologic care and follow-up in a timely manner.

Hearing Aid Clinic

Purpose: To evaluate, select, fit and dispense hearing aid(s), maintain hearing aids and accessories issued to CRS clients; to provide ongoing evaluation and monitoring of hearing status and opportunity for client/family/ teacher education regarding the use of amplification.

Diagnoses: Chronic otitis media, ossicular chain abnormalities, tympanic membrane perforation, atresia, other causes of conductive hearing loss and sensorineural hearing loss.

Goals: To insure that patients are fit with appropriate amplification devices, that they are utilizing the devices and know how to maintain their equipment on an ongoing basis and that the amplification devices remain functional.

Hearing Assessment Clinic

Purpose: To provide audiologic assessment for those children who refer from newborn hearing screening or have failed a previous hearing screen, or have been identified as having risk factors for developing later onset and / or progressive hearing loss.

Diagnoses: Physician referral not required for this clinic.

Goals: To insure that children with hearing loss or those at risk for hearing loss are identified and monitored appropriately as recommended by the Joint Committee on Infant Hearing (JCIH).

Hemophilia Clinic

Purpose: To provide a multidisciplinary approach to the treatment of children and adults with hemophilia and related bleeding disorders.

Diagnoses: Hemophilia A & B (Factor VIII & IX deficiencies), other factor deficiencies (i.e. VII, X, XI) and Von Willebrand's Disease.

Goals: To provide treatment for individuals with hemophilia in accordance with

Maternal and Child Health (MCH) and National Hemophilia Foundation (NHF) Standards including immediate treatment and financial assistance for the provision of factor replacement to treat and prevent bleeds with the fewest side effects, such as HBV, HIV, and inhibitor development; to prevent functional limitations and permanent disability; to provide patient education on self-care; and to promote future planning for work and financial independence.

Limb Deficiency Clinic

Purpose: To provide comprehensive, centralized medical and community follow-up care to children with limb deficiencies in Alabama.

Diagnoses: Congenital limb deficiencies, post-traumatic amputations, and other diagnoses that may require a prosthesis.

Goals: To provide medical and surgical management of limb deficiency, and to assist in the evaluation and preparation for, and the securing of a prosthesis. This clinic also serves as a system of community wrap-around care for patient and community education.

Neurology Clinic (includes Pediatric Assessment and Pediatric Neurology Clinics)

Purpose: To evaluate, diagnose and treat difficult neurological conditions that require a team approach to treatment.

Diagnoses: Difficult seizures, seizures with other diagnoses, multiple sclerosis, muscular dystrophy, cerebral dysgenesis, ataxia, and others.

Goal: To maximize the functioning of individuals with neurological disorders.

Neuromotor Clinic 

Purpose: To evaluate, diagnose and treat the multiple needs of individuals with neuromotor disabilities through a multidisciplinary team.

Diagnoses: Traumatic brain injury, spinal cord injury, spina bifida, and other neuromotor conditions.

Goals: Maximize the function and improve quality of life for individuals with neuromotor disabilities and their families.

Neurosurgery Clinic

Purpose: To provide evaluation and treatment to children with eligible conditions requiring neurosurgical intervention.

Diagnoses: Spinal cord anomaly, anomaly skull/face bones, encephalocele, hydrocephalus, hydromyelia and others.

Goals: To prevent infection and brain damage; to promote normal brain growth and development.

Orthopedic Clinic

Purpose: To treat orthopedic problems using a multidisciplinary team to prevent deformities and increase function.

Diagnoses: Cerebral palsy, muscular dystrophy, brachial plexus lesions, contractures, arthropryposis, juvenile osteochondrosis, hip dislocations, spina bifida, osteogenesis imperfecta and others.

Goals: To prevent the loss of function, or increase functional abilities of children with orthopedic problems.

Pediatric Evaluation Clinic

Purpose: To provide multidisciplinary evaluation/assessment to identify needed services for clients with multiple medical complaints, developmental delays and/or complex needs.

Diagnoses: Any suspected developmental delay or medical complaint likely to result in complex needs in clients aged birth to 21 years.

Goal: To determine the client’s medical and developmental status for the purpose of Initial assessment, treatment planning and family education.

Pediatric Orthopedic Specialty Clinic 

Purpose: To provide specialized pediatric orthopedic care for those children who refer from other CRS clinic orthopedists, have been identified as having risk factors requiring a secondary assessment by a multidisciplinary team for treatment/ surgical intervention to prevent or treat deformities and increase function.

Diagnoses: Cerebral palsy, muscular dystrophy, brachial plexus lesions, contractures, arthropryposis, juvenile osteochondrosis, hip dislocations, spina bifida, osteogenesis imperfecta, spine or limb deformities and others.

Goals: To prevent the loss of function, or increase functional abilities of children with complex orthopedic problems.

Scoliosis Clinic

Purpose: To prevent deformity and functional limitations from pain and rib cage compression of thoracic and abdominal organs by early diagnosis and treatment.

Diagnoses: Scoliosis, kyphosis, and others.

Goals: To prevent functional limitations by early diagnosis and treatment; to diagnose spinal curves as early as possible, in order to stabilize curves as soon as appropriate to minimize functional limitations that result from spinal deformity.

Seating, Positioning, and Mobility Clinic

Purpose: To provide a team approach in addressing the complex seating, positioning and mobility needs of patients and families in an attempt to increase functional skills.

Diagnoses: Any neuromotor disorder that results in the need for a seating, positioning, and/or mobility system.

Goal: To increase the function and/or mobility of patients by using specialty seating, positioning and/or mobility systems.

Seizure Clinic 

Purpose: To provide a system of evaluation and medical follow-up to individuals with suspected/confirmed seizure disorders.

Diagnoses: generalized non-convulsive epilepsy, generalized convulsive epilepsy, psychomotor epilepsy, partial epilepsy, infantile spasms and others.

Goal: To provide eligible patients with maximum seizure control with minimum side effects.

Speech Pathology Clinic

Purpose: To evaluate, diagnose, follow children with suspected or known communication deficits where other evaluation resources are unavailable.

Diagnoses or Chief Complaint: Children demonstrating characteristics of communication, speech, language, voice or fluency problems. Possible diagnoses include: stuttering, stroke, vocal nodules, TBI, dysarthria (muscle paralysis), dyspraxia (lack of muscle coordination), developmental apraxia (disorder in which a person has trouble saying what he or she wants to say correctly and consistently, not due to weakness or paralysis of the speech muscles), and other severe communication disorders.

Goals: To insure that children at risk for communication deficit are appropriately identified, referred for treatment and monitored and the children with communication deficits are identified as soon as possible. 

Spina Bifida Clinic (includes Multi-Specialty Clinic)

Purpose: To evaluate and treat the multiple needs of individuals with spina bifida through a multidisciplinary team.

Diagnoses: Spina Bifida.

Goals: To maximize function and improve quality of life of individuals with spina bifida and their families.

Spinal Deformity Clinic 

Purpose: To prevent deformity and functional limitations from pain and rib cage compression of thoracic and abdominal organs by early diagnosis and treatment.  To evaluate and treat the orthopedic needs of individuals with spina bifida.

Diagnosis: Scoliosis, Kyphosis, Spina Bifida, and others.

Goals: To prevent functional limitations by early diagnosis and treatment; to diagnose spinal curves as early as possible, in order to stabilize curves to minimize functional limitations that result from spinal deformity; to maximize function and improve quality of life.

Teen Transition Clinic 

Purpose: To assist adolescents and young adults in their planning for transitioning into adult life, including adult healthcare, functional independence and mobility and independent living.

Eligibility: Adolescents ages 12 to 21 who are eligible for CRS and who are planning for transition to adult life are eligible to participate in the clinic.

Goals: To provide specialty assessment of the client and his/her medical and rehabilitation needs so as to identify options for the future which are pertinent to the identified needs. This includes follow-up care through CRS Care Coordinators and other appropriate professionals within the Alabama Department of Rehabilitation Services as well as other resources; education and client/parent counseling on all phases of transition with assistance in understanding and coping with the adolescent’s special health care needs, including transition to adult health care.

Urology Clinic

Purpose: To offer treatment to children with severe, chronic urinary tract abnormality that would, if left untreated, result in renal disease and eventually death.

Diagnoses: Extrophy of the bladder, reflux, hydronephrosis, and neurogenic bladder.

Goals: To prevent end-stage renal disease and promotion of social acceptance, dignity and self-worth of the incontinent patient.