HomeFAQEmergency Contacts

15400 Sherman Way, Suite 170
Van Nuys, CA 91406
tel: 818–778–1900
fax: 818-756-6140s
updated August 5, 2008
General Information | Zip Code Look Up | Regional Centers Map______----_______

Eligibility

IMPORTANT NOTE: We have been experiencing some technical difficulties with our online application form. If you submitted a form in the last few weeks (since 7/11/08) we may not have received it. Please call our Intake Dept. at
818-778-4400 to make sure we have your information, or if you wish to start the Intake process, please call us at this number. We apologize for any inconvenience this may have caused.

We are in the process of developing new forms that will be available on this page in the near future. Please visit us again soon.

General Infomation
North Los Angeles County Regional Center (NLACRC) provides services to persons with developmental disabilities (consumers) who have mental retardation, cerebral palsy, epilepsy, autism, conditions closely related to mental retardation, or conditions that require treatment similar to that required for individuals with mental retardation.

The disability must originate before the age of 18, continue or be expected to continue indefinitely, and constitute a substantial disability for the person. A substantial disability is one that affects three or more of seven major life areas such as a person’s ability to communicate or learn.


Early Intervention Services

NLACRC provides services to infants and toddler from birth to 36 months of age who have a developmental delay, have established risk conditions or who are at high risk of becoming developmentally disabled.


Prenatal Diagnosis
We also can provide information to pregnant women who are believed to be at risk for giving birth to a child with a developmental disability.


Are you eligible to receive NLACRC services?
Would you like to find out if you or a family member is eligible to receive NLACRC services? First, see if you live in the catchment area that we serve (Antelope, Santa Clarita and San Fernando Valleys), then call our Intake Dept. at (818) 778-4400 to start the application process.

>> check our zip code list to see if you live in our catchment area


Other Forms

Authorization Form instructions
>> view the instructions (PDF)

"Authorization for Use and/or Disclosure of Medical and/or Other Information" (Van Nuys office)
>> view and print the form (PDF)

"Authorization for Use and/or Disclosure of Medical and/or Other Information" (Lancaster office)
>> view and print the form (PDF)

Consent Form (under age 3)
>> view and print the form (PDF)

Consent Form (over age 3)
>> view and print the form (PDF)