Get Connected

"How Can We Connect You?"

Reasons to Contact us:

Wooden blocks stacked on top of one another to create a house

Basic Needs

  • Diapers & wipes

  • Clothing & furniture 

  • Food & formula assistance

  • Utilities assistance

  • Housing assistance

  • Domestic violence, dental, mental health & medical provider referrals

Teacher helping toddler with toy

Child Care

  • Low-cost licensed childcare centers

  • Low-cost licensed homes

  • Free Early Head Start childcare center (0-3 year olds)

Pregnant mother with son at home

Pregnancy to Age 3 Support

  • Pregnancy support (WIC, MIHP, Early Head Start, 20 Hands referrals)

  • Age 0- 3 Support (WIC, MIHP, Early Head Start, 20 Hands, Early On referrals)

Multi-ethnic group of preschool students in class

Preschool (3-5 year olds)

  • Low-Cost preschool classrooms (3-4 year olds)

  • Free Head Start classrooms (3-4 year olds)

  • Free GSRP classrooms (4 year olds)

Mom thinking about a question

Parent Question

Specific questions about your child's development.

Please state the specific question you have in our "What is your Question" box at the top of the referral form.​

Mother with son at a doctor's appointment

Agency Referral

Agency representatives filling out forms on behalf of families.

*Referrals for Early On and GSRP require additional authorization from parents in order for us to share information back to the referring agency. Please send this form (coming soon) with parent's signature. Email the HM Team.

Mom with preschooler at home

Update my Information

Agency or caregiver needing to update family information in the system. 

Home visitor chatting to mother with young child

Early On or Build Up Referral

Agencies making an Early On or Build Up referral for a child with possible developmental delay(s).

Please list the following information in our "Referral Notes" box at the top of the referral form.

  • Early On (age 0-3 years old) or Build Up (3-5 years old) referral

  • Specific reason for referral (i.e. communication, fine motor, gross motor, social, emotional, problem-solving concerns)

  • Best time of day we can contact you (Morning, Afternoon, Early Evening)

  • Any other information we should know about your family, like if your child had an IFSP or IEP.

Feel free to call us at (269) 512-7775