Request Password for Referral Guidelines & Co-Management Programs Welcome to the growing ranks of our referring PCPs who have become CLASP (Connecticut Children’s: Leaders in Advanced Solutions for Pediatrics) adopters! To access our CLASP materials and referral guidelines, we ask that you complete this brief ONE-TIME information form. This will make it possible for us to notify you as new CLASP tools become available and when existing CLASP tools are updated. Your password will be sent to you promptly. Thank you, Michele Krivickas Program Coordinator, Office of Innovation in Clinical Care Delivery Karen Rubin, MD Professor of Pediatrics, University of Connecticut School of Medicine Associate Clinical Chair, Department of Pediatrics & Head of Clinical Care Innovation, Connecticut Children’s Medical Center Request Password for Referral Guidelines Name * Title * MD RN APRN Other Title Practice * Town * State * Email Address * Submit If you are human, leave this field blank.