Referral Submissions

EIDBI Referral Form Minnesota: Refer a Child to Kids Care Inc.

Whether you are a parent, pediatrician, case manager, or school professional, this EIDBI referral form for Minnesota families is the fastest way to start the conversation. It takes about three minutes, and our team will follow up within one business day.
Parents & Guardians
Pediatricians
Case Managers
School Staff
1
Referral Info
Who you are and how we can reach you
2
Child Details
The child’s name, age, and basic background
3
Services
Which services you are asking about, such as a CMDE or ABA therapy
4
Availability
The family’s preferred days and times


What Happens Next

What happens after you submit the EIDBI referral form in Minnesota?

After you submit the EIDBI referral form Minnesota families and professionals use here, our team follows up within one business day and guides the family through the next steps.
1
We confirm we received it. A team member reaches out to you, and to the family if you are a professional referrer.
2
We talk with the family. We listen to their concerns and answer questions about EIDBI.
3
We check eligibility and coverage. We confirm Minnesota Health Care Programs enrollment or private insurance benefits.
4
We schedule the next step. Usually a CMDE assessment in Minnesota. If the child already has a valid CMDE, we move directly to the treatment plan.
For Referrers

Who is referring? Find your path

Every referrer starts with the same short form. These notes explain what helps most for each role.

How do parents refer a child for autism services in Minnesota?

Parents can refer a child for autism services in Minnesota themselves; you do not need a doctor’s referral to contact us. Fill out the form above or call 651-441-6245. If you searched how to refer a child for autism services Minnesota-wide, the steps are the same for every family.
If you have them, it helps to mention:
Any diagnosis or earlier evaluations
Your child’s Minnesota Health Care Programs or insurance coverage
Your biggest concerns right now
Not sure whether your child qualifies? Read who qualifies for EIDBI or call us and we will gladly help you check.

How does a pediatrician autism referral in Minnesota work with Kids Care Inc?

For a pediatrician autism referral in Minnesota, use the form above and include the reason for referral and your contact details for coordination. We follow up with the family within one business day. Clinics looking for a simple pediatrician autism referral Minnesota process will find ours takes about three minutes.
Helpful information to include:
The developmental or behavioral concerns you observed
Whether a diagnosis of autism spectrum disorder or a related condition has been made
Any screening results you are comfortable sharing, with the family’s knowledge
Physicians play an important role in EIDBI because the CMDE gathers records from a child’s physician or advanced practice registered nurse. Sharing relevant records early helps the evaluation move faster.

How can a case manager make an EIDBI referral?

A case manager EIDBI referral starts with the same form: share the family’s contact details, the child’s current services, and how you prefer to coordinate.
Case managers and care coordinators often know which other services a child already receives, such as waiver services or county supports. Listing those services helps us plan a coordinated care conference so every provider works from one plan. Learn more about coordinated care conferences.

How can a school professional make an autism referral in Minnesota?

For a school professional autism referral in Minnesota, use the form above, share what you are seeing in the classroom, and make sure the family knows you are reaching out.
School staff often notice challenges with transitions, communication, or group participation first. Your observations help our team understand the child’s needs, which is why this is the simplest school professional autism referral Minnesota educators can make. Once services begin, school staff can be invited to care conferences, and our school readiness program connects therapy goals with classroom goals.
Please note: EIDBI services are medical treatment, separate from special education. A referral to us does not replace the school’s own evaluation or IEP process.

Is there a statewide EIDBI referral option in Minnesota?

Yes. Minnesota’s Autism Resource Portal offers a statewide EIDBI referral tool that connects families with enrolled providers. It can be helpful if a family wants to compare options.
If the family would like to work with Kids Care Inc. specifically, our EIDBI referral form Minnesota families use on this page is the most direct route, and we follow up within one business day.
Good Practice

What should every referrer keep in mind?

A few simple practices make every EIDBI referral form in Minnesota smoother to process and more respectful of the family.
Involve the family. Let the parent or guardian know you are making the referral, since we will contact them directly.
Share only what is needed. A short description is enough on the form; our team will follow up with the family about sharing records.
Include the best contact details. A working phone number is the fastest way for us to reach the family.
Have a general question instead of a referral? Visit our contact page or read our EIDBI FAQ.

Ready to Make a Referral?

Start the referral process today. Complete the form above, and our team will follow up within one business day.