Referrals/Evaluations

Make a Referral:

Call 503-261-5535 

(please leave a voicemail message for us if noone answers right away and we will call you back within 24-48 hours)

OR

        Email a referral form (from below) to us at: mecprecords@ddouglas.k12.or.us

**Please note** If you call or email us a referral and you have not heard back within 24-48 hours, please call us 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:

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.

http://asqoregon.com/

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:  mecprecords@ddouglas.k12.or.us