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The Developmental Disabilities and Early Childhood Supports Division contracts with WithinReach to facilitate the central referral line for entry into Birth-to-Three services. The WithinReach Family Health Hotline can be reached by phone at 1-800-322-2588. The Birth-to-Three Referral form ( PDF / Word ) can be faxed to 206-299-9146.

The Developmental Disabilities and Early Childhood Supports Division contracts with 12 different Birth-to-Three non-profit agencies in King County. While three of these agencies provide specialized services to children who are deaf or hard of hearing, the other eight have a significant history of providing services to infants, toddlers, and their families and have the capacity to provide comprehensive Birth-to-Three services, shown below, to utilize properly licensed and certified staff:

  • Physical Therapists;
  • Occupational Therapists;
  • Speech Therapists; and
  • Special Educators. 

All contracted agencies agree to provide services in compliance with Federal law, Part C of Individuals with Disabilities Education Act and every family will be connected with a Family Resource Coordinator early in the enrollment process.  Access to services may be made directly to one of the Birth-to-Three Providers or visit the online Provider Map.

Your family will be assigned a Family Resource Coordinator (FRC) to provide support and assistance with Birth-to-Three services. Your family has choices regarding who serves as your FRC.

Your FRC will work with you, offer support, schedule and help coordinate:

  • Information shared about your child/family during the intake process;
  • Your child’s developmental evaluation;
  • The initial team meeting;
  • Developing an Individualized Family Services Plan (IFSP) to address your child and family needs and priorities;
  • Reviewing and updating the IFSP at least every 6 months, or upon your request;
  • Information about community resources to support your child and family;
  • Regular monthly check-ins with you to see how everything is going;
  • A Transition Plan to community programs and/or School District services as your child gets closer to age 3.

Every family getting Birth-to-Three services has a Family Resources Coordinator.

         Not sure who your FRC is? Contact a Birth-to-Three Program Manager, listed under "Contact" on this page.

         Think you don’t have a Family Resource Coordinator yet? Call WithinReach at 1-800-322-2588.

Once your child is found eligible for Birth-to-Three, you will have a chance to participate in a team meeting. The team meeting will help you create an Individualized Family Service Plan (IFSP) to guide services.

The IFSP is a written plan of action the team develops collaboratively to:

  • Describe your child’s current development;
  • Name your child and family’s strengths and unique needs;
  • Clarify your family’s concerns, priorities and resources;
  • Create outcomes, strategies and methods to meet your priorities;
  • Choose the locations where services and supports will occur;
  • Is reviewed at least every six months or more often as needed.  

An important part of an IFSP meeting is to address changes your family wants to see for your child and family. These are called Outcomes. Examples of outcomes include:

  • Christy will play with a few toys on her own while mom cooks dinner.
  • Jason will be able to sit with us during church.
  • Miguel will be able to eat with us during our family meals eating the foods that we eat.
  • Meredith will tell us what she wants using signs when playing with her sister.

After the team has identified child/family Outcomes, necessary services and supports are determined. The team decides and includes in the IFSP:

  • How often each service / support is needed to meet the outcome
  • Family’s roles in working towards the outcome and supports they may need
  • Manner in which the service will be provided
  • Location where each Birth-to-Three service will occur—usually home, child care, or other community settings.


  • Family Resources Coordinator
  • Assessments—Both Initially and Ongoing

The MOST FREQUENT services include:

  • Developmental Services—Individual Education;
  • Speech Therapy;
  • Motor Therapy—Occupational or Physical Therapy;
  • Feeding Therapy and Nutrition Services

OTHER Services are also available:

  • Audiology
  • Assistive technology devices & services
  • Family training, counseling, and home visits
  • Health services, Nursing services, Medical services for evaluating or diagnosing (most Birth-to-Three Providers do NOT diagnose children)
  • Psychological services
  • Social work services
  • Vision services

The purpose of Washington's Guidelines for Implementing Birth-to-Three Services in Natural Environments is to provide guidance to all individuals who comprise the State Birth-to-Three system in adapting and modifying services as necessary to meet the natural environments requirements of the Individuals with Disabilities Education Act, Part C.

The Guidelines emphasize the importance of providing early intervention services as part of the family's daily routine and activities; using the child's natural learning opportunities.

Birth-to-Three services are provided using multiple funding sources. There are several elements that guide the funding of Birth-to-Three services:

  • Federal law that directs how “Part C” services are delivered.
  • State funding also comes with specific guidelines.

Other Funding Sources for Birth-to-Three services:

  • School district funds for 0-2
  • Child Development Service funds (via Developmental Disabilities Administration)
  • Part C funds*
  • Birth-to-Three Providers also do lots of fundraising to cover the costs of services.

Part C of the Individuals with Disabilities Education Act (IDEA) is the federal law that guides how Birth-to-Three services are provided. The IDEA permits Family Cost Participation for some Birth-to-Three services. For more information see the Family Cost Participation Brochure (External version in English).


Wendy Harris, Prenatal to Five Team Lead


Phone: 206-263-9052

Contact Us

Phone: 206-263-9105

TTY Relay Service: 711

Fax: 206-205-1632