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Pediatric Complex Care

Boxy in wheelchair enjoying therapy with caregiverBillings Clinic pediatricians are dedicated to caring for all children. Children who have complex medical problems often need a special kind of care. Billings Clinic's Pediatric Complex Care program, directed by Dr. Patricia Notario, specializes in treating patients with multiple medical problems.

The Program consists of a team of health care specialists to help with your child's unique needs.

  • Patricia Notario, MD, Pediatrician
  • Nurses trained in pediatric complex care
  • Pediatric sub-specialists (including pediatric urologists, pulmonologists, oncologists, cardiologists, endocrinologists, and neurologists)
  • Therapists, social workers, dietitians, and audiologists

Our team helps patients and their families navigate the complicated health care system. All members of the care team work together along with community resources to improve health outcomes through coordinated care and improved access to services. We want to ensure your child receives the best care possible.

Our Team Works to Assist You

  • Arranging care between hospitals
  • Arranging care with primary care doctors
  • Helping coordinate medications when multiple pharmacies are involved
  • Coordinating care with therapists and other health care professionals
  • Providing patient and family education
  • Support for you and your child's unique medical needs
  • Centralized point of contact
  • We work with community-based resources to help improve your quality of life

Family Resources

Pediatric Starter Kit: Having the Conversation with Your Seriously Ill Child

The Funding Guide

Hopeful Parents Blog

Children with Special Needs Activity Booklet



Family Guide to Help Parents of Children with Mental Illness

National Disability Navigator Resource Collaborative

Gtube skin care

Gtube checking and changing

Venting a Gtube

Plugged Tracheostomy tube



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Pediatric Complex Care

To Make An Appointment

A referral is required for this program.  Please have your child's primary care physician contact us.


Please ask to speak with the Pediatric Complex Care Coordinator.

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