Online Referral

This online form can be completed to refer a child for First Steps services. Fill in all available information and hit “submit” when finished.

OTHER WAYS TO PLACE A REFERRAL:

Call during standard business hours and provide information by speaking with someone.
Print or Download a referral form to complete and fax.
Print or Download a referral form to complete and e-mail.

1531 13th Street, Suite G900

Columbus, Indiana 47201

Phone: (812) 314-2982

Fax: (812) 373-3620