DCF Referral Form

Referrals to Birth to Three are made for children 0 to 34.5 months who you or someone else has a concern about their development.  The concern can be from the parent, foster parent, DCF, or anyone else.  Concerns can be suspected and does not have to be validated.  Only children with noted concerns or diagnosed conditions receive an evaluation. 

 If there is no concern, contact Help Me Grow at 1-800-505-7000 for resources.

DCF Referral Form

1Your Information
2Child Info
3Reason for Referral
  • please enter first and last name

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