To Make a Referral

Parents of children birth through age two years, nine months, or anyone else with parent consent, can make a referral to the Monroe County Early Intervention Program  (EI) by calling 753-5437, or faxing at 585-753-5272.  Unless a parent objects, professionals such as doctors and service providers must refer a child to EI if there is a suspected delay in a child’s development, or a confirmed diagnosis that would allow the child to be automatically eligible. The clerk accepting the referral will ask for basic demographic information to assist the service coordinator in meeting with the parent to explain the program in detail.  All information is kept confidential.

After 2 years, 9 mos., it is most appropriate to call the Committee on Preschool Special Education (CPSE) in your school district.  The EI clerk can give you the number to call.

Early Intervention also accepts referrals for children who are at risk of developmental delay.  The at risk criteria can be found in the regulations 69-4.3 (f)(1)(2) on the New York State Department of Health Bureau of Early Intervention website.

Download the referral form and fax to Monroe County EI Program 585-753-5272.

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