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Early Intervention/Early Childhood Special Education (EI/ELSE) Referral Form for Providers* Birth to Age 5 CHILD/PARENT CONTACT INFORMATION Child's Name: Date of Birth: / / Parent/Guardian Name: Relationship
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How to fill out oregon abcd eiecse referral

How to fill out oregon abcd eiecse referral
01
To fill out Oregon ABCD EIECSE referral, follow these steps:
02
Gather all necessary information such as child's name, date of birth, address, and contact information.
03
Contact the Oregon ABCD EIECSE program to obtain the referral form.
04
Fill out the referral form accurately and completely. Provide all required details about the child's developmental concerns, medical history, and any relevant observations.
05
Attach any supporting documentation or reports from healthcare professionals or educators, if applicable.
06
Review the completed form for any errors or missing information.
07
Submit the referral form to the Oregon ABCD EIECSE program through the specified submission method, such as mailing or online submission.
08
Await confirmation of receipt and further instructions from the program regarding next steps.
09
Follow up with the program if you haven't received any response within a reasonable timeframe.
Who needs oregon abcd eiecse referral?
01
Oregon ABCD EIECSE referral is needed for parents or caregivers who have concerns about their child's developmental progress or suspect that their child may have a disability or special healthcare needs.
02
It is also required for healthcare professionals, educators, or other professionals who have identified developmental concerns in a child and wish to refer them to the Oregon ABCD EIECSE program for further assessment and support.
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What is oregon abcd eiecse referral?
Oregon ABCD EIECSE referral is a system in Oregon that allows for early intervention and early childhood special education services to be provided to eligible children.
Who is required to file oregon abcd eiecse referral?
Parents, caregivers, healthcare providers, and educators are required to file Oregon ABCD EIECSE referral for a child who may be eligible for early intervention or early childhood special education services.
How to fill out oregon abcd eiecse referral?
To fill out Oregon ABCD EIECSE referral, one must provide information about the child's development, any concerns about the child's development, and contact information for the child and family.
What is the purpose of oregon abcd eiecse referral?
The purpose of Oregon ABCD EIECSE referral is to identify and provide support to children who may benefit from early intervention or early childhood special education services.
What information must be reported on oregon abcd eiecse referral?
Oregon ABCD EIECSE referral must include information about the child's development, any concerns about the child's development, and contact information for the child and family.
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