How to Make Referrals
Anyone can call 1-800-505-7000 or 211 to make a referral!
To complete an ONLINE referral, please choose the link below that best describes your relationship to the child.
Parent or Guardian or Foster Parent
All Others (such as health or child care providers, friends, or relatives)
To complete a FAXED referral, please print this form: fax referral to CDI and return via fax to 860-571-6853. You may also fax medical records to provide information related to the child’s development.
If the child you are referring does not live in Connecticut, or will turn 3 years old within 45 days, do not complete this form. Call 1-800-505-7000 to talk with the Child Development Infoline about other options to address your concerns.
Privacy Notice: The Connecticut Birth to Three System and the United Way of Connecticut, our contractor, are committed to protecting the privacy of children and families referred for early intervention services and supports under Part C of the Individuals with Disabilities Education Improvement Act (IDEA) 2004. All information related to referral of a child is protected by the federal law entitled, the Family Educational Rights and Privacy Act (FERPA) and HIPAA.