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Reviewed May 6, 2014, Revised July 12, 2016REFERRAL TO THE EARLY INTERVENTION PROGRAMPOLICY: Referral to the Early Intervention Program PURPOSE: As of July 1, 1993, the Early Intervention Program
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How to fill out referral to form early

01
Start by gathering all the necessary information and documents required for the referral form.
02
Carefully read and understand the instructions provided on the form.
03
Fill out your personal details accurately, such as your name, contact information, and any identification numbers required.
04
Provide the name and contact information of the person or organization you are referring.
05
Include a detailed explanation of why you are making the referral and the specific services or assistance needed.
06
If there are any supporting documents or evidence to substantiate the referral, make sure to attach them securely.
07
Double-check all the information you have filled in for any mistakes or missing details.
08
Submit the completed referral form to the designated authority or agency through the recommended method (such as online submission, mail, or in-person).
09
Keep a copy of the filled-out referral form for your records.
10
Follow up with the appropriate party if necessary to ensure your referral is being processed and addressed in a timely manner.

Who needs referral to form early?

01
Individuals who require specialized services or assistance that cannot be provided by regular means.
02
People seeking access to government programs, benefits, or social services.
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Patients who need referrals from primary care providers to specialists or other healthcare professionals.
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Workers who need referrals from their employer to access employment-related resources or benefits.
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Students who require referrals for educational support services or accommodations.
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Individuals involved in legal matters who need referrals to lawyers or legal aid organizations.
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Job seekers who need referrals to employment agencies or career counseling services.
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Anyone facing challenges or seeking support in specific areas that can be addressed through referrals.
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