How To Make a Referral

If you would like to make a referral to the Regional Consultation Program for a child in Early Intervention or a child care program, there is a referral form for Early Intervention Programs and a referral form for Child Care Providers and Resource and Referral Agencies to use. Please complete the appropriate forms and send to Step One Regional Consultation Program, 500 Victory Road, Quincy, MA 02171

Directions for Completing Referral Form
for Early Intervention Service Coordinators:

1. Please discuss the referral with the family, fill out questions on the form and have parent sign the release portion of the form.

2. The service coordinator will add the referral to the RCP to the IFSP.

3. The service coordinator will send the completed referral form and the developmental assessment to the RCP by fax or mail.

4. Once the information is received, the RCP coordinator will contact the EI Service Coordinator within 3-7 days to schedule the consultation with the family, and discuss the specific needs of the child and family.

5. The RCP consultant will meet with the child and parents and service coordinator at the child’s home or in a community setting.

6. After the first consultation, the service coordinator, RCP consultant and parent can determine whether more services and/or resources will be needed from the RCP.

Directions for Completing a Referral Form for Child Care
Providers or Child Care Resource and Referral Agencies:

1. Discuss the consultation referral with the parent. The parent must agree with the provider regarding the need for a consultation.

2. The child must be enrolled in an Early Intervention Program in order to receive RCP services. The RCP staff can assist the childcare staff or parent in enrolling in an Early Intervention Program.

3. Complete all questions on the referral form and send or fax to: The Regional Consultation Program, 500 Victory Road, Quincy, MA 02171. Fax: 617-847-0915