Get the free First Steps Assistive Technology Order Form - chfs ky

This document is used to request assistive technology items for a child, including details about the child, service coordinator, requesting therapist, and justification for the requested items.

How to fill out first steps assistive technology

How to fill out First Steps Assistive Technology Order Form

1. Obtain the First Steps Assistive Technology Order Form from your local First Steps office or their website.
2. Fill in the child's personal information, including name, date of birth, and address.
3. Provide information about the child's developmental delays and the specific assistive technology needed.
4. Include the name and contact information of the referring professional or agency.
5. Specify the desired outcomes and how the assistive technology will support the child's development.
6. Review the form for any missing information or errors.
7. Submit the completed form to your local First Steps office as per their instructions.

Who needs First Steps Assistive Technology Order Form?

1. Parents or guardians of children with developmental delays.
2. Early intervention specialists who assess and recommend assistive technology.
3. Healthcare professionals involved in the child's care.
4. Service coordinators within the First Steps program.

People Also Ask about

What is the first steps program in Missouri?

First Steps is Missouri's Early Intervention system for infants and toddlers, birth to age three, who have delayed development or diagnosed conditions that are associated with developmental disabilities. The federal law governing First Steps is Part C of the Individuals with Disabilities Education Act (IDEA).

What does first steps help with?

First Steps is designed for children who have a disability, a delay in their development, a special health care need that maybe cause a delay in development or for children who have a medical or biological risk factor that might cause a developmental delay without the benefit of early intervention services.

Does Missouri First Steps serve children at risk for developmental delays?

First Steps is Missouri's Early Intervention system that provides services to families with children, birth to three years of age, with disabilities or developmental delays.

What does first steps program do?

FirstSteps' Applied Behavior Analysis (ABA) treatment program utilizes behavior analytic principles to teach your child new skills and reduce behavior challenges.

Who is eligible for first steps in Missouri?

Children between the ages of birth and 36 months who either 1) have a diagnosed physical or mental condition associated with developmental disabilities (such as Down syndrome, spina bifida or cerebral palsy), or 2) have a condition with a high probability of resulting in a developmental delay or disability (such as a

For pdfFiller’s FAQs

What is First Steps Assistive Technology Order Form?

The First Steps Assistive Technology Order Form is a document used to request assistive technology services and devices for infants and toddlers who are eligible for early intervention services under the First Steps program.

Who is required to file First Steps Assistive Technology Order Form?

The First Steps Assistive Technology Order Form must be filed by service coordinators, therapists, or other qualified professionals involved in the child's early intervention plan.

How to fill out First Steps Assistive Technology Order Form?

To fill out the First Steps Assistive Technology Order Form, provide detailed information about the child's needs, specify the requested devices or services, include any clinical justification, and ensure it is signed by the appropriate personnel.

What is the purpose of First Steps Assistive Technology Order Form?

The purpose of the First Steps Assistive Technology Order Form is to facilitate the provision of necessary assistive technologies to enhance the developmental skills of infants and toddlers enrolled in early intervention services.

What information must be reported on First Steps Assistive Technology Order Form?

The information that must be reported includes the child's name, date of birth, specific needs for assistive technology, types of devices requested, and any additional relevant clinical information.