First Steps

First Steps is Missouri’s Early Intervention system for infants and toddlers, birth to age 3, who have delayed development or diagnosed conditions that are associated with developmental disabilities. First Steps offers coordinated services and assistance to young children with special needs and their families.

The First Steps Goal is to make sure that families have the necessary supports, services, and resources that they need to raise healthy, happy and successful children.

Children’s Therapy Center provides support to families through the First Steps system in 27 counties through Central and East Central Missouri. Through our two First Steps offices we provide Service Coordination to children in First Steps.

Referrals to the First Steps system can be made through calling, faxing or mailing the referral form to the local First Steps office. Contact information for the Region in your area: Click here for a referral form.

First Steps Central SPOE, Region 6

Counties served: Benton, Boone, Calloway, Camden, Carroll, Chariton, Cole, Cooper, Howard, Miller, Moniteau, Morgan, Pettis, Randolph, and Saline

4515 W. Main
Sedalia, MO 65301
660-827-5004 Local Number
866-583-2392 Referral Number
866-625-4447 FAX Line

First Steps East Central, Region 9

Counties Served: Crawford, Dent, Franklin, Gasconade, Iron, Jefferson, Maries, Osage,
Phelps, Pulaski, St. Francois, and Washington

102 E. Springfield, Suite 101
Union, MO 63084
636-584-7279 Local Number
866-583-2392 Referral Number
866-206-5514 FAX Line

Additional information about the First Steps system can be found at the Department of Elementary & Secondary Education /What is First Steps website The page has links to the First Steps Brochure, Belief Statements, and Eligibility Criteria.