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Early Intervention Services and
York Region Preschool Speech Language Program Referral Form
Please complete and ATTACH a Developmental Screen (E.R.I.K. or Nip pissing) for the child
(appropriate for
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How to fill out early intervention services and

How to fill out early intervention services and
01
To fill out early intervention services, follow these steps:
02
Contact your local early intervention program to request the necessary forms and documentation.
03
Complete the forms with accurate and up-to-date information about your child's developmental concerns and any relevant medical history.
04
Gather supporting documents such as medical reports, evaluations, and any other relevant information that may assist in determining eligibility.
05
Submit the completed forms and supporting documents to the early intervention program either in person, by mail, or via their online portal.
06
Await communication from the program regarding the status of your application and any additional steps or assessments required.
07
Attend any appointments or assessments scheduled by the program to evaluate your child's developmental needs.
08
Collaborate with the early intervention team to create an Individualized Family Service Plan (IFSP) outlining the services and supports needed for your child.
09
Review and sign the IFSP, ensuring that it aligns with your child's needs and goals.
10
Begin receiving and participating in the early intervention services as outlined in the approved IFSP.
11
Maintain ongoing communication with the early intervention team, attending scheduled meetings, providing necessary updates, and advocating for your child's needs.
Who needs early intervention services and?
01
Early intervention services are designed for children under the age of 3 who have developmental delays, disabilities, or identified risk factors that may impact their growth and learning.
02
Some individuals who may benefit from early intervention services include:
03
- Children with diagnosed disabilities or developmental disorders such as autism spectrum disorders, Down syndrome, or cerebral palsy.
04
- Children who exhibit significant delays in speech and language development, motor skills, social/emotional development, or cognitive abilities.
05
- Children with sensory impairments, such as hearing or vision loss.
06
- Children who were born prematurely or with low birth weight.
07
- Children who have experienced significant medical conditions or trauma that may affect their overall development.
08
It is important to consult with your child's healthcare provider or local early intervention program to determine if your child is eligible for and would benefit from early intervention services.
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What is early intervention services and?
Early intervention services are services designed to help infants and toddlers with developmental delays or disabilities.
Who is required to file early intervention services and?
Early intervention service providers are required to file early intervention services and.
How to fill out early intervention services and?
To fill out early intervention services, providers must include information on the child's developmental progress and any services provided.
What is the purpose of early intervention services and?
The purpose of early intervention services is to support the development of young children with disabilities or developmental delays.
What information must be reported on early intervention services and?
Information such as the child's progress, services provided, and any assessments must be reported on early intervention services.
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