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Children's Developmental Disabilities Services Application r 3 12 2015Date:Child's Name:Date of Birth:Is the child currently enrolled in Medicaid? Yes No MID×Healthy Connections? Yes No Parent(s)/Legal
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Childrens developmental disabilities services are services provided to children with developmental disabilities to support their growth, learning, and well-being.
Parents or legal guardians of children with developmental disabilities are typically required to file for childrens developmental disabilities services.
Filling out childrens developmental disabilities services typically involves providing information about the child's diagnosis, needs, and the services requested.
The purpose of childrens developmental disabilities services is to help children with developmental disabilities reach their full potential and lead fulfilling lives.
Information such as the child's diagnosis, specific needs, requested services, and any relevant medical or educational records may need to be reported on childrens developmental disabilities services.
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