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Charlie Christ Governor Ana M. Diamanté ROS, M.D., M.P.H. State Surgeon General DATE: June 14, 2010, TO: Early Steps Community Partners and Referral Resources FROM: Lynn Marie Price, Bureau Chief,
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How to fill out early steps community partners

How to fill out early steps community partners:
01
Gather the necessary information: Before filling out the form, make sure you have all the relevant information regarding your organization, such as its name, contact details, mission statement, and the services you provide.
02
Complete the organizational details section: In this section, provide accurate information about your organization, including its legal name, address, phone number, and email. Also, specify the type of organization (nonprofit, for-profit, government agency) and briefly describe your organization's purpose.
03
Describe your organization's experience: In this section, highlight your organization's experience in providing services to individuals with developmental delays or disabilities. Include details about any previous collaborations with Early Steps or other relevant programs.
04
Specify the services your organization can offer: Clearly outline the services your organization can provide to support infants and toddlers with developmental delays or disabilities. This could include early intervention services, speech therapy, occupational therapy, physical therapy, behavioral interventions, or other specialized services.
05
Identify your organization's target population: Indicate the specific population your organization serves within Early Steps, such as infants and toddlers with autism, Down syndrome, hearing impairments, or other developmental delays. Provide any additional relevant details regarding the age range or specific conditions your organization specializes in.
06
List your organization's qualified staff: Provide information about the professionals within your organization who are qualified to provide the services you mentioned earlier. Include their names, titles, credentials, and any certifications or licenses they hold.
07
Attach supporting documentation: Depending on the requirements, you may need to attach supporting documents such as your organization's certifications, licenses, or proof of insurance. Make sure to review the instructions carefully and provide all the necessary documentation.
08
Review and submit the form: Before submitting, carefully review all the information you have entered to ensure accuracy and completeness. Verify that all the required fields are filled out and that any attached documents are properly labeled. Finally, click the submit button or follow the designated submission process outlined in the instructions.
Who needs early steps community partners?
01
Early intervention service providers: Early Steps community partners are typically organizations or service providers that offer early intervention services to infants and toddlers with developmental delays or disabilities.
02
Nonprofit organizations: Nonprofit organizations that focus on helping children with developmental delays or disabilities can benefit from becoming Early Steps community partners. These organizations often have the necessary expertise and resources to support early intervention efforts.
03
For-profit service providers: For-profit service providers, such as therapy clinics, rehabilitation centers, or independent practitioners, can also become Early Steps community partners if they meet the necessary requirements and have the capacity to deliver appropriate services to the target population.
04
Government agencies: Local or state government agencies that provide early intervention services or support can also be eligible to become Early Steps community partners.
05
Educational institutions: Colleges, universities, or educational organizations that offer programs or resources related to early intervention or special education may also be interested in becoming Early Steps community partners.
06
Other community organizations: Various community organizations working towards supporting children with developmental delays or disabilities may also find value in becoming Early Steps community partners. These can include parent support groups, advocacy organizations, or other community-based services.
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