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High Risk Infant Follow-Up Program Specialties and Services


The High-Risk Infant Follow-up (HRIF) Program services begin shortly after discharge and continue up to 3 years of age. Children are seen for three visits: at approximately 4-6 months adjusted age, 12 months adjusted age, and 24 months chronological age. (The adjusted age is the age the baby would be if they had not been born early.)

Entry into the HRIF program is available to infants who meet specific criteria established by California Children’s Services (CCS) and/or who are at-risk for developmental delays and referred by a primary care provider. Our services include:

  • Comprehensive history and physical exam with a neurologic assessment
  • Developmental screening and testing
  • Family psychosocial assessment
  • Coordination of services with primary care provider and referrals to community intervention programs
  • Education to assist families in promoting the growth and development of their child

Multidisciplinary services

HRIF services are provided by a multidisciplinary team which includes a board-certified neonatologist, pediatric nurse practitioners, developmental specialists, HRIF nurse coordinator, and social worker. 

If a delay or health concern is identified, a referral is made to the appropriate pediatric subspecialist, including:

  • Physical therapy
  • Occupational therapy
  • Speech services
  • Ophthalmology
  • Audiology
  • Clinical nutrition
  • Social services