New Web-Based Training for Standardized Illinois Early Intervention Referral Form

Posted on: August 16, 2011

ICAAP’s projects “Coordinating Care between Early Intervention and the Primary Care Medical Home” and “Illinois Healthy Beginnings II” have worked to bridge systemic care for young children at risk for developmental delay. Both projects have developed tools and resources to improve care coordination and access by working with primary care providers, Early Interventionists, and families throughout Illinois. Two tools, “The Referral Fax Back Form” for Early Intervention Service Coordinators and “The Standardized Illinois Early Intervention Referral Form” for primary care providers, were developed in the Coordinating Care project and reached wider implementation with IHB2.

ICAAP is proud to announce a new web-based training for implementation of the Standardized Illinois Early Intervention Referral Form. Within this brief training module, you will learn the importance of the Standardized Early Intervention Referral Form as well as how to complete it. These forms and trainings may be of interest to a national audience of Part C Coordinators and providers who interact with Early Intervention. However, the intended audience is Illinois Early Interventionists. The forms can be adapted by other states with written permission from ICAAP. Submit requests to Jodie Bargeron, Manager of Medical Home Initiatives.

To register for the training click here.

Once you register for this event you will receive a confirmation e-mail from ONLINELEARNING@ILLINOISEITRAINING.ORG which will include the link to view the resource. Please check your spam folder if you do not receive this e-mail in your inbox.

Coordinating Care Between Early Intervention and the Primary Care Medical Home was developed by a collaborative project of the Illinois Chapter of the American Academy of Pediatrics, Advocate Health Care’s Healthy Steps Program, Illinois Early Intervention Bureau, and Illinois Early Intervention Training Program. This project was supported by a grant from The Commonwealth Fund.


For more information on the Coordinating Care project, contact:

Jodie Bargeron, MSW, LSW
Director, Medical Home Initiatives
Illinois Chapter, American Academy of Pediatrics
1400 W. Hubbard, Suite 100
Chicago, IL 60642
Phone: 312/733-1026 ext. 209
Fax: 312/733-1791