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.