Refer this Child

To refer a child, information is entered in a series of steps.  

Click the Refer this Child button.

Steps for Referring this Child:

Click on the Referrer information on the left side to get started.  As you enter the information on the right, click the Save and Continue button to go through the steps.

Referrer Information:

Child Information:

Parent/Guardian & Family Information:

Reason for Referral:

Additional Details:

Supporting Documentation:

Submit Referral to MDITP: