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2015-2016 Developmental Referral and Services Directory
The Developmental Referral and Services Directory (PDF) provides information to health care providers referring children to Early Intervention and Early Childhood Special Education for evaluations. The Directory describes the referral processes for both systems and contains listings for Child Family Connection Offices, school districts and developmental services.
Standardized Illinois Early Intervention Referral Form
1. The Standardized Illinois Early Intervention Referral Form should be completed by the referring party (i.e. a physician or early childhood care and education provider) with the parent or guardian. Be sure to check (√) the appropriate boxes in Section 4 and have the parent or guardian complete and sign Section 6. This will allow the referring party to receive information about the outcome of the referral.
2. Fax the completed form to the appropriate Child and Family Connections (CFC) office. See the list of CFC service areas and fax #s on pages 7-10 of the Collaboration's Developmental Referral & Services Directory. The West Cook County area, which includes Oak Park, River Forest, and Forest Park, is CFC 7. The CFC 7 fax # is (708) 449-7071 or (708) 449-7173.
3. CFC will assign the family a service coordinator who must contact the family (usually by phone) within 2 business days. Please share this information with the parent or guardian and let them know to expect a phone call.