Multnomah Early Childhood Program

Make a Referral:

By Phone

Call 503-261-5535 and leave a voicemail message if no one answers right away. Calls will be returned within 24-48 hours.

By Email

Email a referral form (form below) to

By Fax

Fax documents to 503-894-8229.

Please note:

If you call or email us a referral and you have not heard back within 48 hours, please call again.

Referral Forms:  

For Parents and Service Providers: 

English – MECP Parent & Provider Referral Form (fillable pdf)
Spanish – Parent Referral form for MECP (fillable pdf)

For Medical and Community Providers (Universal referral form):  

English – EI/ECSE referral form (fillable pdf)
Spanish – EI/ECSE referral form (fillable pdf)

Referral brochures:

中国人 – Chinese – MECP Brochure
English – MECP Brochure
Русский – Russian – MECP Brochure
Soomaali – Somali – MECP Brochure
Español – Spanish – MECP Brochure
Tiếng Việt – Vietnamese – MECP Brochure

Child Development Screening Tool

Visit this website to complete a free online 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 daycare 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:

MECP also has the ASQ screening tool available in Vietnamese, Chinese, and Arabic. Please call us at 503-261-5535 if you need a copy in one of these languages.