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Family Guidebook I Referral and Eligibility for Colorado Early Intervention Services Second Edition This guidebook and others are available at www.eicolorado.org Dear Family, Since 1964, Colorado
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How to fill out referral_eligibility final2013 - autism:

01
Begin by gathering all necessary information: You will need to have documentation and records related to the individual's diagnosis of autism. This may include medical reports, evaluations, and assessments.
02
Review the referral_eligibility final2013 form: Carefully read through the referral_eligibility final2013 - autism form to understand what information is required and how it should be filled out. Pay attention to any specific guidelines or instructions provided.
03
Provide personal details: Fill in the individual's full name, date of birth, and contact information in the appropriate sections of the form. It is important to ensure accuracy and completeness.
04
Include relevant diagnostic information: In this section, you will need to provide details about the individual's autism diagnosis. This may include the date of diagnosis, the diagnosing professional or institution, and any additional relevant information about the diagnosis.
05
Document additional special needs or accommodations: If the individual has any additional special needs or requires accommodations related to their autism, you should provide detailed information about these in the corresponding section of the form. This can include information about therapy, medications, or other support services that are currently being utilized.
06
Specify the referral purpose: Indicate the reason for the referral, highlighting the specific programs, services, or eligibility criteria that the individual is seeking or applying for. This section should clearly state why the individual requires a referral.

Who needs referral_eligibility final2013 - autism:

01
Parents or guardians of children with autism: Parents or guardians who have a child diagnosed with autism may need to fill out the referral_eligibility final2013 - autism form in order to access specialized services, programs, or support for their child.
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Medical professionals: Healthcare professionals specializing in autism may need to submit a referral_eligibility final2013 - autism form to refer their patients to other specialized providers or services.
03
Educational professionals: Teachers, school administrators, or special education professionals may need to complete this referral form to request specific services or accommodations for students with autism within the educational system.
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Social service providers: Professionals working in social service agencies or organizations may utilize this referral form to connect individuals with autism to appropriate support services, such as therapy or counseling.
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Individuals with autism: In some cases, individuals with autism who are capable of advocating for themselves may fill out the referral_eligibility final2013 - autism form to request specific services or supports that they require.
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