The Early Referral and Follow-up Project of the University of Nebraska Medical Center was designed to facilitate developmental assessment and intervention with long-term or repeatedly hospitalized children from birth to 3 years of age. Developmentally delayed children, handicapped children, and children at risk for delays were eligible for services. A major project activity involved assisting in the referral and transition of children from the hospital into appropriate services in their local school districts, accomplished through consultation with hospital and school district staff and through follow-up services. Evaluation services available to clients included developmental, speech, physical therapy, and occupational therapy assessments. This final report analyzes the referral process, the number of children referred and monitored, developmental interventions, cost of services, and outcomes of cases. Evaluation of project services indicated that school districts and parents perceived the project as providing useful, timely referral information and assessments of high quality. Staff efforts during the distribution of the Case Coordination Resource File. Appendixes include an outline of the case coordination role and sequence of activities; the evaluation criteria; definitions of classes of school district; and a project training workshop brochure. (JDD)