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Maryland Infants and Toddlers Program Physicians Guide Rev 08/13Maryland Infants and Toddlers Program Referral and Feedback Form Please complete this form for each child you refer for early intervention.
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How to fill out for referring children with

01
Start by gathering all the necessary information about the child you are referring, such as their full name, date of birth, and contact information.
02
Identify the reason for the referral and provide a detailed description of the child's needs and any relevant background information.
03
Determine the appropriate program or service that the child requires and indicate it on the referral form.
04
Fill out the referral form accurately, making sure to provide all requested information and supporting documentation.
05
Submit the completed referral form to the designated referral contact or agency, following their specific submission instructions.
06
Follow up with the referral contact or agency to ensure that the referral has been received and processed.
07
Continue to collaborate and communicate with the referral contact or agency as needed to support the child's referral process.
08
Stay informed about the progress of the referral and provide any additional information or updates as requested.
09
Advocate for the child's needs throughout the referral process and ensure their best interests are being considered.
10
Monitor the outcome of the referral and follow through with any necessary actions or next steps.

Who needs for referring children with?

01
Anyone who identifies a child in need of specific programs or services can make a referral for them.
02
This may include parents, guardians, teachers, healthcare professionals, social workers, or other individuals involved in the child's welfare.
03
The specific eligibility criteria for referrals may vary depending on the program or service being sought.
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Referring children with is for identifying students who may benefit from further assessment or support services.
Educational professionals such as teachers, counselors, and special educators are required to file for referring children with.
To fill out for referring children with, educational professionals must complete the necessary forms provided by the school district or educational institution.
The purpose of referring children with is to ensure that students receive the support and services they need to succeed academically and socially.
Information such as the student's name, grade level, specific concerns or behaviors, and previous interventions must be reported on for referring children with.
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