Get Connected

Make a Referral

Have a child with a disability or special healthcare need or know one? We can provide resources and support from others who have traveled the same journey.

Simply complete the form.

Please allow 5-7 business days for someone to contact you. 

Please feel free to call our Support and Information Line.

Monday- Friday, 8:30am-5:00pm.

1-800-578-8750

1-888-808-7462/para espanol

 


Referring Provider Information







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Child/Person with Disability Information












Thank you so much for your referral! 

Please allow 5-7 business days for someone to contact you. 

Please feel free to call our Support and Information Line.

Monday- Friday, 8:30am-5:00pm.

1-800-578-8750

1-888-808-7462/para espanol