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State of Illinois Department of Human Services — Division of Developmental Disabilities Basic Qualified Intellectual Disabilities Professional (QI DP) Training Program Letter of Application: Checklist
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How to fill out basic qualified intellectual disabilities:

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Gather necessary information: Begin by gathering all the required information needed to fill out the basic qualified intellectual disabilities form. This may include personal details such as name, address, contact information, as well as any relevant medical or educational history.
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Complete the personal information section: Start by filling out the personal information section of the form accurately and completely. Provide details such as the individual's full name, date of birth, address, and contact information. Be sure to double-check for any errors or omissions.
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Provide relevant medical information: Include any relevant medical information in the appropriate sections of the form. This may include diagnoses, medications, therapies, and previous assessments or evaluations. It is essential to provide as much detail as possible to accurately reflect the individual's needs and challenges.
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Educational background and support needs: In this section, provide information about the individual's educational background, including their current school, grade level, and any specialized education programs they may be involved in. Additionally, address any specific support needs they may have, such as the need for accommodations or modifications.
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Include relevant documentation: Attach any necessary documentation that supports the information provided in the form. This may include medical records, educational evaluations, or any other relevant documents that help substantiate the individual's eligibility for basic qualified intellectual disabilities.

Who needs basic qualified intellectual disabilities:

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Individuals with intellectual disabilities: Basic qualified intellectual disabilities forms are typically designed for individuals who have been diagnosed with intellectual disabilities. These individuals may have limitations in intellectual functioning, adaptive behaviors, and daily life skills.
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Families or caregivers: In some cases, families or caregivers may need to fill out basic qualified intellectual disabilities forms on behalf of the individual with intellectual disabilities, particularly if they are minors or have limited capacity to do so themselves.
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Service providers or support organizations: Service providers or support organizations may also be required to fill out basic qualified intellectual disabilities forms when assessing an individual's eligibility for their services or programs. These forms help determine the appropriate level and types of support needed to accommodate the individual's unique needs.
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Basic qualified intellectual disabilities refer to individuals who have been diagnosed with intellectual disabilities and are eligible for certain benefits or services.
Entities or organizations providing services to individuals with intellectual disabilities are required to file basic qualified intellectual disabilities.
Basic qualified intellectual disabilities can be filled out using the designated form provided by the relevant agency or organization.
The purpose of basic qualified intellectual disabilities is to ensure that individuals with intellectual disabilities receive the appropriate services and support they need.
Information such as the individual's diagnosis, treatment plan, and any accommodations or services they may require must be reported on basic qualified intellectual disabilities.
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