Home Visiting Programs

baby boy in carseat

Home Visiting Services offered by Polk County Public Health:

Polk County Public Health offers three home visiting programs to families in our community: Babies First!,  CaCoon, and Family Connects. 

Babies First!

Babies First! is a program for pregnant women and for babies/children from 0-5 years old. The goal of Babies First! is to help families make sure that their babies are healthy as they grow and learn. This includes helping pregnant women access resources to have a healthy pregnancy. 

Nurses make home visits to provide health screenings, developmental screenings as needed and referrals to community services. Nurses provide support, encouragement and education on a variety of topics related to pregnancy and/or parenting. For more information about this program click here: 

To refer a child, family or to self-refer to Babies First!, please fill out the Referral Form linked at the bottom of the page.

 
CaCoon

CaCoon is a home visiting program for families with children through the age of 20 who have complex medical conditions which result in special medical, educational, vocational, and social needs. The goal of this program is to empower parents to become their own case managers and to utilize community resources with the support of a nurse.

Nurses make home visits to provide health screenings, developmental screenings as needed and referrals to community services. Nurses provide case management and care coordination to assist families in meeting the complex needs of their child. For more information about this program click here:

To refer a child, family or to self-refer to CaCoon, please fill out the Referral Form linked at the bottom of the page.

 
Family Connects Home Visiting Network

For more information about this program click here: 

To refer a child, family or to self-refer to Family Connects, please fill out the Referral Form linked at the bottom of the page.

 

I want to submit an online referral form

I WANT TO SUBMIT AN ONLINE REFERRAL FORM

Click here to access the Polk County Home Visiting Referral Form in English.

Click here to access the Polk County Home Visiting Referral Form in Spanish.

 

I want to submit a paper referral form

I WANT TO SUBMIT A PAPER REFERRAL FORM

To submit a paper or PDF referral, please download the Polk County Home Visiting Referral form listed under Supporting Documents.

Paper forms can be dropped off in person or sent by fax or mail. 
OR
Email ph.info@co.polk.or.us to request a secure link to upload the form.