Maxillofacial Review Boards

Maxillofacial Review Boards (MRFB) provide the interconnected critical care that children born with cleft lip and cleft palate need. They make sure providers plan and carry out the treatment in a coordinated and step-by-step manner as the child grows.

Washington has 4 regional Maxillofacial Review Boards. DOH supports 3 of them through contracts.

What Services do MRFBs Provide?

MRFBs follow the standards and structure set by the American Cleft Palate-Craniofacial Association. They help provide regional care consistent with medical homes. A medical home model focuses on team-based care with the patient and family at the center. This model can be beneficial for individuals with disabilities and chronic health conditions. It is one of the key standards of care for children and youth with special health care needs.

What is the Structure of MRFBs?

Each MRFB has a team of experienced and qualified professionals. A team coordinator oversees care for the children and their families and maintains the organizational structure of the review board.

How do the MRFBs Ensure Care Standards?

MRFBs follow the standards of care set by the American Cleft Palate-Craniofacial Association. These standards help the team provide quality care for infants and children born with cleft lip and cleft palate. Care standards include:

  • Team composition
  • Team management and responsibilities
  • Patient & family/caregiver communication
  • Cultural competence
  • Psychological and social services
  • Outcome assessment

Have More Questions?

Email us at or call 360-236-3507.

MRFB information per county

Spokane's Providence Sacred Heart Maxillofacial Review Board serves counties in the East Region:

Adams Columbia Garfield Pend Oreille Stevens
Asotin Ferry Lincoln Spokane Whitman

The team coordinator for this region is located at:

Providence Sacred Heart Children's Hospital
Cleft Lip and Palate Center

101 West 8th Avenue, Suite 454E, Spokane, WA 99204  
Tues, Wed, Thurs
Spokane, Washington 99220-2555
FAX 509-474-2801

Tacoma's Southwest Washington Maxillofacial Team serves counties in the Southwest Region:

Clark Grays Harbor Mason Pierce Thurston
Cowlitz Lewis Pacific Skamania Wahkiakum

The team coordinator for this region is located at:

Mary Bridge Children's Hospital and Health Network
PO Box 5299, MS: 316L-1-CHN
(311 South L Street)
Tacoma, Washington 98415-0288
FAX 253-403-4700

Yakima's Central Washington Cleft Palate team serves counties in the Central Region:

Benton Douglas Grant Klickitat Walla Walla
Chelan Franklin Kittitas Okanogan Yakima*

The team coordinator for this region is located at:

Children's Village
3801 Kern Road
Yakima, Washington 98902
Toll Free 800-745-1077
FAX 509-574-3210

* Find Yakima through Patients & Families - ACPA ( American Cleft Palate Craniofacial Association as Central WA. Cleft Palate Team Children’s Village offer local Cleft Lip Palate services.

The Northwest Washington region includes the following counties:

Clallam Jefferson Kitsap Skagit Whatcom
Island King San Juan Snohomish  

The team coordinator for this region is located at:

Public Health - Seattle and King County
401 Fifth Avenue, Suite 1000
Seattle, Washington 98104
FAX 206-296-4679

The team coordinator for the Northwest Region works with Craniofacial Center staff at Seattle Children's Hospital to serve children in the Northwest Region.

Children's Craniofacial Center
Seattle Children's Hospital

4800 Sand Point Way NE
Seattle, Washington 98105
FAX 206-987-3824
Toll free: 1-866-987-2000
Website: Craniofacial Center | Seattle Children's Hospital

Portland serves some children residing in Southwest Washington through:

Craniofacial Disorders Program
Oregon Health Sciences University
Child Development and Rehabilitation Center

PO Box 574
Portland, Oregon 97207-0574
FAX 503-279-4447

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