20+ Years Serving Central CT

Refer a Patient to The Talcott Center

Personalized care for children and families living with autism and other developmental conditions.

ABA, Applied Behavior AnalysisSLP, Speech-Language PathologyOT, Occupational Therapy PTPhysical Therapy
Insurance Accepted
Family Support

Submit an E-Referral »

About The Talcott Center

We deliver comprehensive, coordinated care through a multidisciplinary team of over 60 board-certified and nationally credentialed clinicians.

Integrated Clinical Services

By collaborating through shared case management, our experts provide seamless care across four core disciplines:

Applied Behavior Analysis (ABA)
Speech-Language Pathology
Occupational Therapy
Physical Therapy

Flexible Care Programs

We meet patients where they are by offering diverse enrollment options tailored to family needs:

Comprehensive Autism Day Program
Evening ABA Program
Developmental Services Appointments
Seasonal Summer & Winter Programs

To ensure early engagement and continuity of care, our developmental services are available to all children, including those without an ASD diagnosis.

For a broader overview of our programs and clinical approach, please visit TheTalcottCenter.com.

Prefer to Fax a Referral?

If you’d rather submit by fax, download the PDF version of our referral form below. Completed forms can be sent to:

Fax: (860) 674-1836

Download Referral Form (PDF)

Submit an E-Referral

Patient Information

Name(Required)

First Name Last Name

Date of Birth(Required)

Gender(Required)

Parent/Guardian Name(s)(Required)

Phone Number(Required)

Email Address(Required)

Primary Insurance(Required)

Policy ID #(Required)

Group #(Required)

Policyholder Name(Required)

Policyholder’s Date of Birth(Required)

Primary Diagnosis (ICD-10)(Required)

Date of Diagnosis(Required)

Diagnosing Physician/Psychologist(Required)

Reason for Referral(Required)

Referring Provider Information

Physician Name(Required)

NPI(Required)

Practice Name(Required)

Address(Required)

Phone(Required)

Fax

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What You Can Expect When Referring to Talcott

We aim to make referrals simple, responsive, and clinically meaningful while supporting you, your practice, and the families you serve.

1. Fast, Reliable Access with Clear Next Steps

Families are contacted within 24 to 48 hours of referral and provided clear guidance on timing, availability, and next steps.

We communicate realistic timelines and availability early so families and referring providers know what to expect.

2. High-Quality, Family-Centered Care

Care is evidence-based, multidisciplinary, and tailored to the needs of each child and family.

Our intake and care planning processes prioritize clarity, compassion, and urgency to ensure families feel supported from their first interaction forward.

3. Closed-Loop Communication with Your Practice

We confirm receipt of every referral and provide timely updates regarding intake status and service start, with appropriate consents.

Our goal is to support continuity of care and maintain clear communication across the care team.