Make a Referral:

Call 503-261-5535

Provider Referral Forms:  

For Parents and Service Providers: 

English- MECP Parent & Provider Referral Form

SPANISH- Parent Referral form for MECP

For Medical and Community Providers (Universal referral form):  

English-EI/ECSE referral form (fillable pdf)

Spanish- EI/ECSE referral form (fillable pdf)

Referral brochures:

Chinese-MECP Brochure

English-MECP Brochure

Russian- MECP brochure

Somali-MECP Brochure

Spanish-MECP Brochure

        Swahili – MECP Brochure

Vietnamese-MECP Brochure

Child Development Screening:  A screening designed to help parents check their child’s developmental milestones.

Please note: This is a confidential, free online tool that is part of an ongoing research study. No personally identifying information is required to check your child’s development using this site. The completed questionnaire(s) and results are not automatically sent to any other provider or practitioner. If you do want to share the results with an Early Intervention Provider, your child’s day care person, your pediatrician or other, you can easily “forward” to anyone from your own email at your convenience.

If you would like to send your ASQ results to the Multnomah County EI/ECSE program, please download them to your desktop and email them to us at: