ECIP has an open referral policy which means that anyone involved in the care of the child can refer to our program. If you're not yet sure if you should refer a child to our program, learn about us here or read more about our Core Services.
The information on this online referral form goes directly to our main email address, please provide the information you feel comfortable sharing with our program. We will be contacting you in the near future to discuss your child's needs further.
If you prefer to print off and mail or scan the referral directly to our program, scroll down to the bottom of the page to download our forms.
Click the button below to download a printable (PDF) version of the form: