Referral Form

Download Our Referral Form

Click the button below to download our printable referral form:

Download Our Referral Form

After downloading or printing, you can send the form to us:

Via Email:  nycrc@optonline.net

or

Via Fax:  212-569-1066

At New York Child Resource Center Inc., we understand that parents trust us with the care of their most precious possession – their child. That is why we are committed to providing trustworthy and reliable services that always put the patient's needs first.

Our team of licensed and certified professionals undergo thorough and hands-on training to ensure that they are equipped with the knowledge and skills to deliver the best possible care to each child.

We take great pride in our track record of success in the Early Intervention program since 1993, and we are dedicated to providing comprehensive and individualized services that address the unique needs of each child we serve.

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Bronx

Address: 429 East 148th St
Bronx, NY 10455

Phone: 718-585-0600
Fax: 718-585-0152

Manhattan

Address: 4624 Broadway
New York, NY 10040

Phone: 212-569-1044
Fax: 212-569-1066

Brooklyn

Address: 706 Quincy Street
Brooklyn, NY 11221

Phone: 718-443-3440
Fax: 718-443-3499
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