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State of Illinois Department of Human Services The Illinois Early Intervention Program: A Guide for Families March 2011 The Illinois Early Intervention Program: A Guide for Families Susan A. Fowler
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Start by carefully reading the instructions provided on the form. This will help you understand the purpose of the form and the information you need to provide.
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Gather all the necessary documents and information before you begin filling out the form. This can include personal identification documents, medical records, and any other relevant paperwork.
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Begin by entering your personal information in the required fields. This may include your name, address, phone number, and date of birth. Make sure to double-check the accuracy of the information before proceeding.
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Next, provide details about the child who requires early intervention services. This may include their name, date of birth, any known medical conditions or disabilities, and any previous assessments or evaluations.
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Fill out the sections regarding the child's eligibility for early intervention services. This may include information about their developmental milestones, overall health, and any concerns or observations you have regarding their development.
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Provide contact information for any professionals or service providers involved in the child's care. This can include doctors, therapists, or educators who are knowledgeable about the child's needs and can contribute to the early intervention process.
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Who needs form billinoisb early intervention?

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Parents or legal guardians of a child who may require early intervention services in the state of Illinois.
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Children under the age of three who have been identified as having or being at risk for developmental delays or disabilities.
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Healthcare professionals, educators, or service providers who are involved in the assessment and intervention process for a child requiring early intervention services.
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Form billinoisb early intervention is a form used to assess and provide services to children with developmental delays or disabilities in the state of Illinois.
Parents or guardians of children who may have developmental delays or disabilities are required to file form billinoisb early intervention.
Form billinoisb early intervention can be filled out by providing information about the child's development, medical history, and any concerns or observations regarding their growth and milestones.
The purpose of form billinoisb early intervention is to identify children who may benefit from early intervention services to help them reach their full potential.
Information such as the child's name, age, medical history, developmental milestones, and concerns or observations from parents or guardians must be reported on form billinoisb early intervention.
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