Kitsap County Autism Center of Excellence
Welcome to
Winlock Pediatrics LLC
Winlock Pediatrics LLC was founded by Dr. Violeta M. Gomez, FAAP, COE, out of a passion for supporting children and families through the evaluation and diagnosis of Autism Spectrum Disorder (ASD). Our mission is to provide timely, gold-standard developmental assessments to establish a diagnosis, develop a treatment plan, and decrease disparities in early detection for Medicaid-eligible and minority children in Kitsap County and Washington State.
Updated Communication Preferences
- For Referrals: Please email all referral documents to referrals@winlockpediatrics.com or send a text to : (206) 413-9310
- For State agencies, general inquiries or records request: Please email info@winlockpediatrics.com
- For existing families, please use your SimplePractice Messenger App.
PRIMARY CARE PROVIDERS
As a designated Autism Center of Excellence, we are committed to serving Apple Health Eligible families and are in network with all MCOs.
We are able to take most major commercial insurances.
As an insurance-based practice we do not accept private pay or cash payments for any services; all copayments and deductibles must be paid securely via a credit, debit, FSA, or HSA card through our patient portal, SimplePractice.
At this time we are not accepting Tricare or Kaiser.
Neurodevelopmental Evaluation Referral
IMPORTANT: We do not accept self-referrals.
Choose the correct pathway to submit your required documentation.
Required Documentation Checklist
All six items below are mandatory regardless of the referral path chosen. Missing information will delay the start of services.
Child's Identifying Information
The full Name and Date of Birth (DOB) of the child being referred.
Parent/Guardian Contact
Name, Phone Number, and a current Email Address for the parent or guardian.
Detailed Concerns or Positive Screen
A list of concerns regarding Autism or other neurodevelopmental differences, OR a positive screen test from your provider or the WA State Strong Start Program.
Collateral Contact Information
When applicable, provide the Name and Email of teachers or other family members you wish to involve in the evaluation process.
Release of Information (ROI)
The fully executed Release of Information form from the referring provider or agency.
Health Insurance Information
Complete and up-to-date Health Insurance policy details.
Select Your Referral Path
Doctor's Office or Referring Agency
If a doctor's office, school, or agency is referring the patient, all documentation (including ROI and screening) must be emailed directly to our secure referral inbox:
referrals@winlockpediatrics.com
Patient Self-Request
If you are a parent or guardian with an existing referral, please use the SimplePractice Request Referral Form below to initiate the process.
Do not send documentation via email.
Secure Communication
All communication and documentation will be securely handled using the SimplePractice client portal app. It can be downloaded from the links below:
