Get the free Early Intervention (Part C) Referral Form (PDF) - caaud

Early Start Referral To Determine Appropriate Services For Infants and Toddlers who are Deaf or Hard of Hearing California Department of Education Deaf and Hard of Hearing Unit PLEASE TYPE OR PRINT

How to fill out early intervention part c

How to fill out early intervention part c:

1. Start by gathering all necessary documents and forms required for the process.
2. Fill out the child's personal information accurately, including their name, date of birth, and contact details.
3. Provide any relevant medical or developmental history of the child that may help in determining eligibility for early intervention services.
4. Answer the questions related to the child's current abilities and limitations in various areas of development, such as communication, motor skills, cognitive abilities, and social interaction.
5. If applicable, provide information about any assessments or evaluations conducted by professionals or experts regarding the child's development.
6. Ensure to mention any special concerns or specific services that you believe would be beneficial for the child's overall development.
7. Review the filled-out form for any errors or incomplete sections before submitting it.

Who needs early intervention part c:

1. Early intervention part C is designed for infants and toddlers, usually between the ages of birth to three years, who have developmental delays or disabilities.
2. It is also for children who have been diagnosed with specific conditions that may potentially affect their development, such as Down syndrome, autism spectrum disorder, or cerebral palsy.
3. Children who demonstrate delays or difficulties in areas such as speech and language, motor skills, cognitive abilities, social-emotional development, or adaptive skills may also benefit from early intervention services provided under part C.

By filling out early intervention part C and identifying if a child is in need of early intervention services, parents or guardians can ensure that the child receives the necessary support and resources to help them reach their developmental potential.

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What is early intervention part c?

Early intervention Part C is a program created under the Individuals with Disabilities Education Act (IDEA) that provides services to infants and toddlers with developmental delays or disabilities.

Who is required to file early intervention part c?

Early intervention Part C must be filed by service providers, such as healthcare professionals, educators, and therapists, who work with infants and toddlers in need of early intervention services.

How to fill out early intervention part c?

Early intervention Part C can be filled out by gathering information on the child's developmental status, creating an Individualized Family Service Plan (IFSP), and submitting the necessary documentation to the relevant state agency.

What is the purpose of early intervention part c?

The purpose of early intervention Part C is to support the healthy development of infants and toddlers with disabilities or delays, and to provide them with the necessary services to reach their full potential.

What information must be reported on early intervention part c?

Early intervention Part C requires information on the child's developmental status, the services provided, progress made, and any changes to the Individualized Family Service Plan (IFSP).