Information Needed for Infant & Toddler Connection of Fairfax-Falls Church Services

Toddler boy walking with rolling walkerYou will need to provide the following information to make a referral to Infant and Toddler of Fairfax-Falls Church (ITC):

  • Name and telephone number of person making the referral

  • Child’s name, gender, and date of birth

  • Language spoken by the family/primary caregiver

  • Name, address, and telephone number of the parent or legal guardian

  • Reason for referral (child has suspected or confirmed developmental delay or disability)

  • Health and physical information, including vision and hearing evaluations, results of any neurological and/or developmental evaluations and any other information pertinent to the child’s physical and developmental status and needs

  • Health insurance name (to include Medicaid), policy number, and other insurance information if applicable

More Information

Who might be eligible for services through Infant and Toddler of Fairfax-Falls Church (ITC)?

What services does Infant and Toddler of Fairfax-Falls Church (ITC) provide?

What is the cost of Infant and Toddler of Fairfax-Falls Church (ITC) services?

Our referrals page includes physician referral forms and other information on the ITC referral process.

Infant and Toddler Connection of Fairfax-Falls Church

Vision: All infants and toddlers with a developmental need are identified, supported, accepted, included, and valued in their family and community.

Susan Sigler, Acting Director
3750 Old Lee Highway
Fairfax, VA 22030
Phone: 703-246-7121 | Fax: 703-653-1385 | TTY: 703-324-4495
ITC locations and directions

Contact ITC by Email

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24-Hour CSB Emergency Services
Phone: 703-573-5679 | TTY: 711

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