Preschool Referral and Services

Preschool Referral and Services


Do you have concerns regarding your child’s development and want to have him/her evaluated for Preschool Special Education Services? Please complete the form below if your child is at least 2 years and 3 months old. If your child is younger please call Jefferson County Public Health to be evaluated for Early Intervention services.

Process for Starting a Referral:

  • Fill out the link below to start the referral process.
  • We will send you a referral packet in the mail for you to sign and send back in the self-enclosed envelope.
  • Make sure you sign the consent and indicate which agency you want to complete the evaluations.
  • Once the signed consent is received, it will be forwarded to the agency you choose and they will contact you to set up the evaluations.
  • Evaluations will be completed.
  • You will receive an invitation for a Committee on Preschool Special Education Meeting to discuss the evaluations and determine if services are recommended.

We also need a copy of your child’s most recent physical and immunizations. Please email this to or include a copy back in the mail with the consent form. You can also call your doctors and ask them to fax it to us at 315-642-3891, Attn: Carol.


Committee on Preschool Special Education Referral Form Link


Preschool Agencies

Below are the approved evaluators/service providers for Jefferson County


Milestones Pediatric Therapy

Building Blocks

ARC Jefferson-St. Lawrence NY


If you have any questions through this process or regarding Preschool Services please contact our office at 315-642-0100.


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