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State of Hawaii Department of Health Early Intervention Section (EIS)Oahu: 8085940066 Toll Free: 8002355477 Fax: 8085940073EARLY INTERVENTION (EI) REFERRAL FORM *Required information for referral
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How to fill out early intervention section eis

How to fill out the early intervention section EIS:
01
Obtain the necessary forms and documents required for the early intervention section EIS. These may include referral forms, medical records, and evaluation reports.
02
Start by providing basic information about the individual who is in need of early intervention services. This includes their name, date of birth, contact information, and any relevant identification numbers.
03
Describe the specific concerns or issues that require early intervention. Be as detailed as possible to provide a clear understanding of the individual's needs and challenges.
04
Include any past evaluations or assessments that have been conducted on the individual. This can help paint a comprehensive picture of their abilities and areas of improvement.
05
List any existing services or supports that the individual is currently receiving, if applicable. This can include therapies, educational programs, or medical interventions that are already in place.
06
Provide information about any additional professionals or agencies involved in the individual's care. This can include doctors, therapists, or educational professionals who are contributing to their early intervention plan.
07
Explain the goals and objectives that are desired for the individual's early intervention. This should be specific and measurable, outlining what outcomes are expected from the intervention.
08
Summarize the plan of action for the early intervention services. This can include specific services to be provided, timelines for implementation, and any necessary accommodations or modifications.
09
Finally, sign and date the early intervention section EIS, ensuring that all information provided is accurate and complete.
Who needs the early intervention section EIS:
01
Infants or young children who have been identified as having developmental delays or disabilities.
02
Individuals who require support and intervention services to address their specific challenges and promote their overall development.
03
Families and caregivers who are seeking assistance in accessing early intervention resources and programs for their child.
04
Professionals, such as doctors, educators, and therapists, who are involved in the care and support of individuals requiring early intervention services.
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What is early intervention section eis?
Early Intervention Section (EIS) is a section of a program designed to provide support and services to help children with developmental delays or disabilities.
Who is required to file early intervention section eis?
Service providers, educators, and healthcare professionals may be required to file Early Intervention Section (EIS) to ensure that children with developmental delays receive appropriate support and services.
How to fill out early intervention section eis?
To fill out Early Intervention Section (EIS), individuals need to provide information about the child's developmental delays, disabilities, and the services they are currently receiving.
What is the purpose of early intervention section eis?
The purpose of Early Intervention Section (EIS) is to ensure that children with developmental delays receive timely and appropriate support and services to help them reach their full potential.
What information must be reported on early intervention section eis?
Information that must be reported on Early Intervention Section (EIS) includes the child's name, age, developmental delays or disabilities, and the services they are currently receiving.
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