Get the free HELP ME GROW REFERRAL FORM - WV DHHR - wvdhhr

HELP ME GROW REFERRAL FORM West Virginia Help Me Grow is a free parent information and referral telephone service designed to connect families to information about child development and community

How to fill out help me grow referral

How to Fill Out Help Me Grow Referral:

1. Gather necessary information: Before filling out the Help Me Grow referral, gather all the required information about the child and their family. This may include the child's name, age, address, parent or guardian contact details, and any relevant medical or developmental history.
2. Access Help Me Grow referral form: Visit the official website of Help Me Grow or contact your local Help Me Grow program to access the referral form. Ensure that you have the latest version of the form to provide accurate information.
3. Child's demographic details: Begin by entering the child's basic demographic information such as their name, date of birth, gender, and address. These details help in identifying the child and their specific needs.
4. Parent or guardian information: Fill out the contact details of the child's parent or guardian, including their name, phone number, email address, and preferred method of communication. This information allows Help Me Grow to reach out and provide necessary assistance.
5. Describe the concerns: Provide a detailed description of the concerns or issues relating to the child's development or well-being. Be specific, clear, and concise while explaining the reason for seeking help through Help Me Grow referral. This will help the program understand the nature of support required.
6. Include additional relevant information: If there is any relevant medical, developmental, or educational history regarding the child, be sure to include it in the referral form. This may consist of previous evaluations, assessments, diagnoses, or any other relevant documents.
7. Consent and signature: Ensure that the parent or guardian reads and understands the privacy and confidentiality policy of Help Me Grow. They should sign the referral form to indicate their consent for the program to gather and share necessary information for evaluation and intervention purposes.

Who needs Help Me Grow referral?

1. Parents or guardians concerned about their child's development: If parents or guardians notice delays or issues in their child's development in any area (cognitive, physical, social, emotional, communication, etc.), they can benefit from a Help Me Grow referral.
2. Healthcare providers: Pediatricians, family doctors, therapists, or other healthcare professionals who observe developmental concerns in their young patients can refer them to Help Me Grow for further evaluation and support.
3. Educators and caregivers: Teachers, daycare providers, or anyone involved in the child's care and education can also make a Help Me Grow referral if they identify any developmental or behavioral challenges that require intervention.

Remember, early identification and intervention can greatly support a child's overall development and well-being. Help Me Grow serves as a valuable resource for families and professionals seeking assistance in promoting optimal growth and development in children.

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What is help me grow referral?

Help Me Grow referral is a process by which a child is referred for early intervention services to support their developmental needs.

Who is required to file help me grow referral?

Any caregiver or professional who has concerns about a child's development can file a Help Me Grow referral.

How to fill out help me grow referral?

To fill out a Help Me Grow referral, you can contact your local community service provider or use online resources provided by the Help Me Grow program.

What is the purpose of help me grow referral?

The purpose of Help Me Grow referral is to ensure that children with developmental delays or concerns receive appropriate support and intervention services.

What information must be reported on help me grow referral?

Information such as the child's name, age, development concerns, and contact information of the caregiver or professional making the referral must be reported on a Help Me Grow referral form.