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Child Find Intake Referral Form ... Are the parent(s) or guardian(s) named above aware of this referral? Yes No If no, why? ... Drug Affected Baby. Hearing.
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How to fill out child find intake referral

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How to fill out a child find intake referral:

01
Start by gathering all necessary information about the child, including their name, age, date of birth, and any relevant medical or educational history.
02
Contact your local school district or educational agency to obtain the child find intake referral form. This form is typically available on their website or can be requested by phone or email.
03
Carefully read the instructions on the form to ensure that you understand the information requested and how it should be filled out.
04
Begin filling out the referral form by providing your own contact information as the person making the referral. Include your name, address, phone number, and email address.
05
Provide detailed information about the child, including their name, date of birth, and any other identifying information. If the child is not yet enrolled in school, include their current early intervention or pediatric services provider, if applicable.
06
Answer the questions on the form regarding the child's developmental, educational, and behavioral concerns. Be as specific and detailed as possible, providing examples or anecdotes that illustrate the child's challenges or difficulties.
07
If the child has received any previous evaluations or services related to their developmental or educational needs, indicate these on the form. This may include things like medical diagnoses, therapy services, or special education programs.
08
Attach any supporting documentation or records that may be relevant to the child's situation. This could include medical records, evaluation reports, or previous Individualized Education Program (IEP) documents.
09
Review the completed form to ensure that all required information has been provided and that there are no errors or omissions.
10
Submit the child find intake referral form to the appropriate contact at your local school district or educational agency. This may involve mailing or delivering the form in person, or submitting it electronically through their online submission process.

Who needs a child find intake referral?

01
Children who are suspected of having a disability or developmental delay may need a child find intake referral. This referral process helps to identify and evaluate children who may be in need of special education services or other supports.
02
Parents or guardians who have concerns about their child's development, educational progress, or behavior should consider making a child find intake referral. This referral can help to initiate an evaluation process that can lead to the provision of appropriate services and supports for the child.
03
Educators, pediatricians, therapists, or other professionals who work with children may also need to make a child find intake referral if they have concerns or observations about a child's development or educational needs. Making a referral can help to ensure that the child receives the appropriate evaluations and interventions.
Note: It is important to consult with your local school district or educational agency to understand their specific procedures and requirements for making a child find intake referral in your area.
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Child find intake referral is a process used to identify and evaluate children who may have a disability and may be in need of special education services.
Teachers, parents, service providers, or other individuals who suspect a child may have a disability are required to file a child find intake referral.
To fill out a child find intake referral, individuals must provide detailed information about the child's suspected disability and need for special education services.
The purpose of child find intake referral is to ensure that children who may have a disability receive timely evaluation and access to appropriate special education services.
Child find intake referral must include information about the child's name, age, suspected disability, and any relevant medical or educational history.
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