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Developmental Screening, Referral to Early Intervention, and Follow Up Patient Name or Record: 10 charts: Conduct and document that a developmental screening was done at the 9month well child visit.
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How to fill out developmental screening referral to

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How to fill out developmental screening referral to

01
Gather all necessary information about the child, including their name, age, and any relevant medical history.
02
Contact the appropriate healthcare provider or agency that conducts developmental screenings in your area.
03
Request a referral form or obtain one from the healthcare provider or agency.
04
Fill out the referral form accurately and completely. Be sure to provide detailed information about the child's developmental concerns or reasons for seeking a screening.
05
Attach any supporting documentation or test results, if applicable.
06
Submit the referral form to the healthcare provider or agency through the designated method (e.g., mail, email, online form).
07
Follow up with the healthcare provider or agency to ensure that the referral is received and processed.
08
Await further instructions or scheduling information from the healthcare provider or agency.
09
Attend the scheduled developmental screening appointment with the child.
10
Discuss the results and any recommended interventions or treatments with the healthcare provider.

Who needs developmental screening referral to?

01
Children who may benefit from developmental screening referral include:
02
- Those who have shown delays or concerns in their development as reported by parents, caregivers, or teachers.
03
- Children with a family history of developmental delays or disabilities.
04
- Individuals with known medical conditions or syndromes that may impact development.
05
- Children who have experienced significant environmental or social factors that could impact their development.
06
- Kids who have missed important developmental milestones or who are significantly behind in their development compared to peers.
07
- Individuals who have been identified through early intervention programs or routine screenings.
08
- Children with behavioral or learning difficulties that could be related to developmental delays.
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Developmental screening referral is a process to identify children who may be at risk for developmental delays or disabilities.
Health care providers, early childhood educators, and caregivers are required to file developmental screening referral.
To fill out a developmental screening referral, provide information about the child's development, behavior, and any concerns that have been observed.
The purpose of developmental screening referral is to ensure that children receive appropriate intervention and support services for any developmental delays or disabilities.
Information about the child's developmental milestones, behavior, and any concerns that have been observed must be reported on developmental screening referral.
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