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Referring Doctor: Date of referral: Patient Name: Patient DOB: Phone Number: Alt #: Other Information: Reason for Referral CataractGlaucomaDiabeticRetinaLidDoctor Dr. Langley Dr. Dyer Dr. Williams
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01
Gather all necessary documents such as identification, proof of residence, and proof of income.
02
Visit the Baltimore Infants and Toddlers Program office or their website to obtain the application form.
03
Fill out the application form accurately and completely, making sure to provide all requested information.
04
Attach the required documents to the application form.
05
Double-check the application form and attached documents to ensure they are complete.
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Submit the completed application form and documents to the Baltimore Infants and Toddlers Program office either in person or by mail.
07
Follow up with the office to confirm that your application has been received and is being processed.
08
Wait for a response from the Baltimore Infants and Toddlers Program regarding the status of your application.
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If approved, follow the instructions provided by the program to enroll your child in the necessary services.
10
If denied, you may have the option to appeal the decision or seek alternative resources for your child's needs.

Who needs baltimore infants and toddlers?

01
The Baltimore Infants and Toddlers Program is designed for families who have children between the ages of birth and three years old who may have developmental delays or disabilities.
02
This program is meant to support and assist families in providing early intervention services for their young children to promote their development and well-being.
03
Any family residing in Baltimore with an eligible child can apply for the program regardless of their income level.
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Baltimore Infants and Toddlers is a program that provides services to children aged birth to three years old who have developmental delays or disabilities.
Parents or legal guardians of children with developmental delays or disabilities are required to file Baltimore Infants and Toddlers.
To fill out Baltimore Infants and Toddlers, parents or legal guardians must provide information about their child's development and any services they are receiving.
The purpose of Baltimore Infants and Toddlers is to provide early intervention services to children with developmental delays or disabilities to help them reach their full potential.
Information that must be reported on Baltimore Infants and Toddlers includes the child's age, developmental delays or disabilities, services being received, and goals for development.
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