Early Start Intake Unit Referral Form
Hello, SCLARC provides services within the Los Angeles County health districts of Compton, San Antonio, South, Southeast, and Southwest LA.
Continue below and select your zip code to begin the online application.
If you do not see your zip code listed, your zip code is not served by SCLARC. Please visit https://www.dds.ca.gov/rc/lookup-rcs-by-county/ to find out which Regional Center serves your area.
This online form is the fastest and most convenient way to apply for services at SCLARC. Alternatively, applications and referrals can be submitted by email, fax, or phone. To submit this application via email or fax instead, click here to download, then print, fill out, and return via email to firstname.lastname@example.org or via fax at (213) 947-4115. To submit a referral by phone please call (213) 744-7068, or (213) 744-8807, or (213) 744-8809