Parents, caregivers, and referring providers: Please complete as much of the form below as possible and a member of our team will contact you shortly. Have a question or need help completing the form? Give us a call at 503-675-4565!
Click here to find a provider in your area.
If you are applying for yourself or if you are referring a pregnant mother, please use the mother's information for both the adult and child's section of the application. A Family Connections Coordinator will follow up to gain more information. If you are a referring partner please leave your name, organization and contact information in the text box titled: "Is there anything else you want us to tell us about your child." Thank you.
- Your Address - Available Locations
Click a location on the map to see more info
Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant
Thank you for your interest in Clackamas County Children's Commission!
Required information is missing, see above.