Advanced Care Paediatrics

for Complex Developmental Needs

Paediatrician Dr Vivek Akkera provides comprehensive assessment, coordinated care, and ongoing management for children across Greater Sydney with complex medical, developmental, and behavioural presentations.

If you have questions, here is a good place to start.

Upload Referral Letter

What Does Advanced Care Paediatrics Mean at Medivik?

Advanced care paediatrics at Medivik is designed for children with complex medical, developmental, and behavioural needs that require more than a one-off assessment. Care often involves ongoing monitoring, long-term management, and collaboration with multiple healthcare providers to support a child’s overall wellbeing and development.

Paediatrician Dr Vivek Akkera works closely with families, allied health professionals, schools, NDIS providers, and other specialists to create a coordinated care plan tailored to each child. This service commonly supports children with conditions such as ADHD, autism spectrum disorder, global developmental delay, and genetic syndromes.

Who Benefits from Advanced Care Paediatrics?

This service is intended for children whose developmental, behavioural, or medical needs require comprehensive assessment and ongoing specialist follow-up over time. 

Your child may benefit from advanced care paediatrics if they:

Meet Our Specialist Developmental Paediatrician

Paediatrician Dr Vivek Akkera is a Consultant General Paediatrician with a special interest in developmental and behavioural paediatrics. He supports children with complex needs through comprehensive assessment, ongoing management, and evidence-based care tailored to each child’s circumstances.

Why Sydney Families Choose Medivik for Advanced Care Paediatrics

Children with complex needs often benefit from consistent, collaborative, and long-term specialist support. At Medivik, families have access to a paediatrician experienced in managing developmental and behavioural conditions while working alongside the broader healthcare and education systems involved in a child’s care.

Longer Initial Consultations

We offer 40-minute initial appointments to allow adequate time to understand your child’s history, current challenges, previous assessments, and support needs without feeling rushed.

Collaborative Approach

Dr Akkera regularly communicates with GPs, schools, allied health providers, specialists, and NDIS stakeholders by reviewing reports, providing recommendations, and making referrals when appropriate.

Long-Term Continuity of Care

We support children throughout different stages of development, seeing patients from birth to 16 years of age, and up to 18 years in select cases. This allows families to receive consistent specialist care over several years when needed.

Is your child showing signs of developmental delay?

Your Child's Journey

Each visit follows a simple process that keeps families informed and children at ease.

Your First Visit

Your journey begins here. Book your child’s first appointment through our online portal. A referral isn’t required, but it is if you’d like to claim a Medicare rebate.

Preparing for Your Visit

Please bring your referral letter, Medicare card, and Blue Book. School reports, past records, or short videos of symptoms are also helpful for giving us a clear picture.

Virtual Consultations

Some visits are easier from home. Telehealth lets you connect with your paediatrician clearly and reliably, without the stress of travel or waiting.

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The Day of Your Visit

Your first consultation usually lasts 40 minutes. You’ll find us at the Bond Building in Bella Vista, Dangar Medical Practice in Singleton, or the Riverside Park Office Tower in West Gosford.

What Can We Do For Your Child Today?

Parent Form

Contact Information

After Hours

Medivik is a specialist clinic and does not provide emergency care. For urgent medical concerns, please contact your GP, visit your nearest hospital emergency department, or call 000.

Upload your referral letter

Doctor Referral Form

Contact Information

After Hours

Medivik is a specialist clinic and does not provide emergency care. For urgent medical concerns, please contact your GP, visit your nearest hospital emergency department, or call 000.

Upload Referral Document/PDF*

Frequently Asked Questions

Does my child need an existing diagnosis to access advanced care paediatrics?

No. Children can be referred if there are ongoing developmental, behavioural, learning, or medical concerns, even if a formal diagnosis has not yet been made. Dr Akkera is experienced in assessing and diagnosing conditions such as ADHD, autism spectrum disorder, and other developmental presentations, allowing families to seek support early rather than waiting for a confirmed diagnosis.

Do I need a GP referral to book an appointment at Medivik?

No. A GP referral is not required to book an appointment at Medivik. However, you will need a valid GP referral if you wish to claim Medicare rebates for your paediatric consultation. GP referrals to a paediatrician are typically valid for 12 months from the date they are issued, so it’s important to check that your referral is still current before your appointment. If it has expired, you’ll need to obtain a new referral from your GP to continue receiving Medicare benefits.

Can advanced care paediatrics help if my child has multiple concerns at the same time?

Yes. This service is particularly helpful for children with overlapping concerns that may affect multiple areas of their development, behaviour, learning, or daily functioning. For example, a child may have ADHD alongside anxiety, speech and language difficulties, developmental delays, or learning challenges. Advanced care paediatrics takes a holistic view of your child’s needs to ensure all relevant factors are considered when planning their ongoing care and support.

Can this service support NDIS applications or reviews?

Yes. Dr Akkera may provide clinical reports, recommendations, and supporting documentation for NDIS-related processes when appropriate. He can also review information from allied health providers and incorporate these findings into his clinical assessment where relevant. The exact documentation required will depend on your child’s circumstances and the purpose of the NDIS application, review, or plan reassessment.

Can my child continue seeing Dr Akkera as they get older?

Yes. Dr Akkera sees patients up to 16 years of age, and up to 18 years in select cases, allowing for continuity of care during important developmental stages. This can be particularly valuable for children with ongoing developmental, behavioural, or medical needs that require regular follow-up over several years. Having the same paediatrician involved over time also helps build a more complete understanding of your child’s progress and changing support needs.