Make a Referral to SPIN
Anyone can make a referral to SPIN -
If you or someone you know may benefit from SPIN services, please reach out. To make a referral, please email, mail, or fax the following form.
Referral Form
Download our standard referral form to get started
Referral Form (DOC)
Editable Word document format
Referral Form (Special Connections)
Specialized referral form for infants and toddlers ages 0-3 enrolled in Special Connections program
What Happens After You Submit?
Once the referral is received, our staff will reach out to the family/parent via mail, email, and/or phone to notify them of our services.
*The signature of the parent indicating consent to be contacted is required.