Initial Referral Form (IRF)

Community Based Providers and Agencies can complete the Initial Referral Form (IRF) with their client and submit it to the Central Intake Agency for their county.

Download IRF

Healthy Women Healthy Families

The Healthy Women Healthy Families (HWHF) Initiative works toward improving maternal and infant health outcomes for women of childbearing age and their families, while reducing racial, ethnic and economic disparities in those outcomes through a collaborative coordinated community driven approach through the use of Community Health Workers and Central Intake Hubs.

Community Health Workers

Community Health Workers (CHW) are trusted members of the targeted community who perform outreach and client recruitment to identify and enroll women and their families in appropriate care and provide personalized support. 

Central Intake

Central Intake is a county-based single point of entry system for referrals to community resources, medical care, Home Visiting Programs, Healthy Women Healthy Families, Doula Programs, and social support agencies.  Central Intake simplifies and streamlines the referral process for obstetrical/prenatal care providers, other community agencies, and families.

Individuals and families who are interested in receiving Maternal Child Health Programs and Services can contact a Central Intake office listed in the following counties:

County

Lead Agency

Central Intake Name

Central Intake Phone

Atlantic

 

Southern NJ Perinatal Cooperative

The Connection

1-800-611-8326

Bergen

Partnership for Maternal & Child Health of Northern NJ

Bergen Central Intake

973-942-3630 x11

Burlington

 

Southern NJ Perinatal Cooperative

The Connection

1-800-611-8326

Camden

 

Southern NJ Perinatal   Cooperative

The Connection

1-800-611-8326

Cape May

Southern NJ Perinatal Cooperative

The Connection

1-800-611-8326

Cumberland

Robin’s Nest

CGS Connect

856 431- 4180

Essex

Prevent Child Abuse NJ

Essex Pregnancy and Parenting Connection

973-621-9157

Gloucester

Robin’s Nest

CGS Connect

856 431- 4180

Hudson

Partnership for Maternal & Child Health of Northern NJ

Hudson Central Intake

201-876-8900 x 221

Hunterdon

 

Central Jersey Family Health Consortium

Family Connections Central Intake

888-551-6217

Mercer

Central Jersey Family Health Consortium

Family Connections Central Intake

888-551-6217

Middlesex

Central Jersey Family Health Consortium

Family Connections Central Intake

1-888-551-6217

Monmouth

Children’s Home Society

Children’s Home Society Central Intake

1-877-352-7843

Morris

Partnership for Maternal & Child Health of Northern NJ

Morris Central Intake

973-343-2650

Ocean

Children’s Home Society

Children’s Home Society Central Intake

1-877-352-7843

Passaic

Partnership for Maternal & Child Health of Northern NJ

Passaic Central Intake

973-942-3600 x14

Salem

Robin’s Nest

CGS Connect

856 431- 4180

Somerset

Central Jersey Family Health Consortium

Family Connections Central Intake

1-888-551-6217

Sussex

Project Self-Sufficiency

Project Family Connect

1-844-807-3500

Union

Partnership for Maternal & Child Health of Northern NJ

Union Central Intake

201-876-8900 x 221

Warren

Project Self-Sufficiency

Project Family Connect

1-844-807-3500

 Community Based Providers and Agencies can complete the Initial Referral Form (IRF) with their client and submit it to the Central Intake Agency for their county.

Last Reviewed: 1/11/2019