Refer a child

Families, schools, clinics, and case managers can start a referral below. Our team will follow up to guide you through assessment and eligibility.

🔒 The information you share here is kept confidential. Please only attach documents you have permission to share. If you'd rather not share details online, just call us — we're happy to help.

I am a… *

Service of interest *

Child's first name (or initials)

Child's age

Does the child have a current diagnosis? *

Type of diagnosis

Diagnosis code (if known)Optional — found on the evaluation or CMDE. You can also attach the report below.

Has the child received ABA services before? *

If past — how long ago?

Where would you like services? (choose all that apply)

In-home School Community-based

Which days are you looking for? (choose all that apply)

Mon Tue Wed Thu Fri Sat Sun

How many days per week?

Preferred hours (optional)

Your name *

Phone *

Email *

Best time to reach you

County / Insurance (optional)

How can we help?

Attach documents (optional) Especially helpful: the diagnosis report, a previous CMDE or IEP, referral letters, or insurance cards. PDF, Word, or images. Only upload what you're authorized to share.

I understand Oasis will use this information to follow up about services, and I'm authorized to share any documents I've attached. *

Thank you — your referral has been started.

Our team will follow up soon to guide you through assessment and eligibility. Need to reach us first? Call 763-312-1878.

Prefer to talk to someone? Call 763-312-1878 or email info@oascsmn.org.

Oasis Child & Family Services7900 Excelsior Blvd, Ste 80
Hopkins, MN 55343

Contact763-312-1878 info@oascsmn.orgFax (763) 316-3123

ServicesEIDBI CTSS CMDE ABA Therapy ITP

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© 2026 Oasis Child and Family Services LLC · Every child deserves to be at their best. Services are individualized and subject to assessment and eligibility. This website does not provide medical advice.