Fetal alcohol spectrum disorder (FASD) is a significant public health concern, and growing recognition in Australia led to the establishment of a specialist service for young children. The aim of the current study was to report on the diagnostic profile of a group of children who attended the service, to document the extent to which there were comorbid diagnoses and to provide information on the neurocognitive functioning of the children.This study was a retrospective chart review conducted by the diagnostic service. A pre-formulated tool to extract the diagnostic data from the client files was designed, a chart review was performed, and the required data was extracted. FASD diagnoses were made using the 4-Digit Diagnostic Code.Thirty-one families participated, and the majority of children were diagnosed with static encephalopathy (alcohol exposed) or neurobehavioral disorder (alcohol exposed) (11 children each; 36%). Only one child was diagnosed with fetal alcohol syndrome (alcohol exposed), and five children were diagnosed with partial fetal alcohol syndrome (alcohol exposed). Twenty-six children (84%) had a comorbid diagnosis, with 19 (61%) having a comorbid diagnosis of attention deficit hyperactivity disorder. While the majority of children were not found to display growth deficiency or significant facial features, 18 children (58%) had significant central nervous system dysfunction.The current study demonstrates that with the relevant training and expertise, assessment and diagnosis of FASD can be embedded within the existing health services available in Australia. [Reid N, Shelton D,Warner J, O'Callaghan F, Dawe S. Profile of children diagnosed with a fetal alcohol spectrum disorder: A retrospective chart review. Drug Alcohol Rev 2017;00:000-000].