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This document serves to apply for various services to assist individuals with developmental disabilities aged 21 and under, including Early Intervention, Special Education, and Division of Developmental
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How to fill out initial uniform application for
How to fill out INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER
01
Obtain the INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER form from the relevant agency.
02
Fill out the applicant's personal information, including their name, birth date, and address.
03
Provide information regarding the applicant's developmental disability, including diagnosis and any supporting documentation.
04
Include details about family or guardian contact information.
05
Indicate any current services or support being received, if applicable.
06
Specify the services being requested through this application.
07
Review the completed form for accuracy and completeness.
08
Submit the application to the designated agency via the specified method (e.g., mailing, online submission).
Who needs INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER?
01
Individuals aged 21 and under who have developmental disabilities and require services.
02
Families or guardians of individuals with developmental disabilities seeking support services.
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People Also Ask about
What are the 5 developmental disabilities?
The main types of developmental disabilities include autism spectrum disorder, cerebral palsy, fetal alcohol spectrum disorders, Down syndrome, and attention deficit hyperactivity disorder (ADHD).
How to apply for PerformCare NJ?
It is preferred that the application be completed online through the CYBER Family Portal. However, parents and caregivers may also download and complete the application by hand using the forms below. You may also call PerformCare at 1-877-652-7624 to ask for the application materials to be mailed to you.
How do I apply for PerformCare in NJ?
It is preferred that the application be completed online through the CYBER Family Portal. However, parents and caregivers may also download and complete the application by hand using the forms below. You may also call PerformCare at 1-877-652-7624 to ask for the application materials to be mailed to you.
How do I become a home caregiver in NJ?
Requirements to become certified as a home health aide by the NJ Board of Nursing are: complete 76 hours of training (60 classroom hours & 16 clinical “hands-on” hours) demonstrate required skills. pass a written examination. pass a background check.
What is the age limit for PerformCare in New Jersey?
Youth who are eligible for services through PerformCare are primarily between the ages of 5 and 21 (up to his or her 21st birthday), reside in the State of New Jersey and have an emotional or serious mental health or behavioral need.
What kind of insurance is PerformCare?
PerformCare - A national, full-service, behavioral health managed care organization (BH-MCO) - A Member of AmeriHealth Caritas.
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What is INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER?
The Initial Uniform Application for Services to Individuals with Developmental Disabilities 21 and Under is a standardized form used to apply for services designed to support individuals with developmental disabilities who are 21 years old or younger.
Who is required to file INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER?
Parents or guardians of individuals with developmental disabilities who are 21 years old or younger are required to file the Initial Uniform Application for Services.
How to fill out INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER?
To fill out the application, provide personal information about the individual, including their name, address, and date of birth, as well as details about their disability, family information, and any relevant medical history. It is important to follow the instructions provided with the application form.
What is the purpose of INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER?
The purpose of the application is to gather necessary information in order to assess the individual's eligibility for various developmental services and support programs available to them.
What information must be reported on INITIAL UNIFORM APPLICATION FOR SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES 21 AND UNDER?
Required information includes the individual’s full name, contact information, date of birth, specific developmental disabilities, family background, and details regarding any previous services or supports received.
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