Referral and Care Coordination

Developmental screening, referral for further evaluation, and ongoing interventions and services require coordination among primary care providers, specialists, early care and education providers, early intervention and special education programs, and families to ensure children and families receive appropriate services and do not fall through the cracks. Referral and care coordination require appropriate tools, such as referral forms, feedback mechanisms, and methods of communication among the providers and agencies serving children and families. Many states have developed tools and models that can guide others in developing care coordination systems. On this page, you can find examples of referral forms that are compliant with federal health (HIPAA) and education (FERPA) privacy and confidentiality requirements; feedback forms to inform primary care providers of the results of evaluations; and referral guidelines. The below map shows states that have standardized referral forms. 

States with Standardized Referral Forms

Referral Map


Has standardized referral form (33)

No known form (18)

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