Children with epilepsy have a higher prevalence rate of depression than seen in the average population. Due to this, the Patient Health Questionnaire, or PHQ-9, is used by epileptologists to screen for depression symptoms. If the patient has a score indicative of moderate symptoms, they are referred to pediatric psychology. Using this questionnaire and a retrospective chart review design, we determined the rate of referral after first administration and subsequent scores at Akron Children’s Hospital. The findings support that those with elevated scores were being referred to mental health treatment. Furthermore, receiving services through pediatric psychology were resulting in lower PHQ-9 scores, suggesting that the measure was both identifying those who needed intervention, and reflected progress from those who received treatment.