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Autism Spectrum Assessment Program (ASAP) Referrals

To make a referral to the Autism Spectrum Assessment Program (ASAP), please follow the instructions below.

  • Complete an ASAP referral form and attach any relevant information
  • If the child is less than 3 years old, refer child to the Birth to Three (Early Intervention) program, indicating the concerns about ASD. Call 211 / InfoLine to make a B-3 referral.
  • If the child is 3 years or older, refer to the Local Educational Agency (LEA) or school district for evaluation and services

Completed forms may be faxed or mailed to:

Connecticut Children’s Medical Center
Autism Spectrum Assessment Program (ASAP)
11 South Road, Suite 120
Farmington, CT 06032
Phone: 860.837.5758
Fax: 860.837.5235

Physicians/PCPs – please discuss your concerns and the referral with the family at the time that you make the referral. Please ask each family to call our office at 860.837.5758 to follow up and schedule an appointment.

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