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
As the sole provider and administrator for the clinic, my ability to answer phone calls during clinical hours is limited. For the most efficient communication, please use the following methods:
- For Referrals: Please email all referral documents to referrals@winlockpediatrics.com.
- For State agencies, general inquiries or records request: Please email info@winlockpediatrics.com
- Community partners and colleagues can reach me at (564) 218-6135 for consultations
- For records requests, please email records@winlockpediatrics.com
- For existing families, please use your SimplePractice Messenger App.
STATE AGENCIES
COMMUNITY PARTNERS
At Winlock Pediatrics, we believe that optimizing a child’s health goes beyond a diagnosis. To provide comprehensive care that addresses the social, emotional, and physical well-being of every family, we have established strong, collaborative partnerships with several trusted community agencies. These alliances ensure our families are seamlessly connected to essential local resources, including specialized behavioral health services, nutritional programs, educational support, and social assistance.
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:
