This practicum was designed to improve communication and collaboration between health care providers and early childhood intervention educators who provide services to children (ages 7 months to 4 years) who are medically fragile or have other special needs and their families. The lack of communication or collaboration is documented, and a causative analysis is provided. In-service seminars were developed and presented by a licensed Clinical Nurse Specialist in pediatrics to both professional groups, separately, on topics concerning special needs children. Education laws were used as a frame of reference, with discussions emphasizing the significance of the laws to both professions in dealing with special needs children and their families. Informal interviews were conducted with families of special needs children to assess their perception of communication and collaboration between health care providers and educators involved with their children. Results indicated that the exposure to the in-service seminar resulted in communication and collaboration, as evidenced by documentation in the medical records of the special needs children. Appendices provide a copy of the medical records review instrument, family interview questions, an outline of the inservice seminar, and an inservice evaluation form. (Contains 23 references.) (JDD)