Patient Referral

To refer a patient to the Brachial Plexus Center, parents and physicians may contact:

Brachial Plexus Center
St. Louis Children's Hospital, Ste. 4S 20
One Children's Place
St. Louis, MO 63110

Phone: 314-454-2811
Fax: 314-454-2818
Toll Free: 800-416-9956
Email: park@wustl.edu

Or you may complete this Initial Evaluation form online.

Muscle strength at the time of this referral

Parents may need assistance from the physician or therapist in filling out this form.
(Note: Grade the best strength observed during evaluation.)

1: No or trace muscle contraction

2: Muscle contraction without gravity

3: Muscle contraction against gravity

4: Muscle contraction against resistance

NG: Not graded due to difficulties