AzEIP FIRST! - The Early Intervention Program

CONTACT US  

AzEIP Referral Form - Click to view and download.

To make a referral for a child residing in Coconino County, the Arizona Strip, the Verde Valley, or on the Hopi reservation, please send a referral form to:

AzEIP FIRST!
Institute for Human Development
at Northern Arizona University
P.O. Box 5630
Flagstaff, AZ 86011-5630

Phone: (928) 523-7075
or toll-free: 1-800-841-5201
Fax: (928) 523-7941

To make a referral for a child residing in Yavapai County, please send a referral form to:

AzEIP FIRST!
3343 N. Windsong Drive, Suite 5
Prescott Valley, AZ 86314

Phone: (928) 759-5591 or
toll-free: 1-800-841-5201
Fax: (928) 759-5593