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DEVELOPMENTAL REFERRAL AND SERVICES DIRECTORY June 2011 Supported by the Physicians Network and the American Academy of Pediatrics through a CATCH Grant to Rebecca Barbara, MD, FLAP Acknowledgements
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How to fill out developmental referral and services

How to fill out developmental referral and services:
01
Start by gathering all the necessary information regarding the individual needing the referral and services. This includes their name, age, date of birth, contact information, and any relevant medical or educational history.
02
Next, identify the specific developmental concerns that require referral and services. This may involve observing the individual's behavior, communication skills, social interactions, academic performance, or any other areas of concern.
03
Consult with the relevant professionals or experts to determine the appropriate referral and services needed. This could include speaking with teachers, therapists, doctors, or psychologists who have assessed the individual's development or have knowledge about their specific needs.
04
Use the proper referral forms provided by the relevant agencies or organizations. These forms can usually be obtained from the individual's school, healthcare provider, or local government agency.
05
Fill out the referral forms accurately and completely. Provide clear and concise information about the individual's developmental needs, concerns, and any relevant observations or assessments.
06
Include any supporting documentation or reports that may be necessary for the referral and services. This can include medical records, assessments, evaluations, or any other relevant documents.
07
Submit the completed referral forms and any supporting documentation to the appropriate agency or organization. Follow the specified instructions for submission, such as mailing, emailing, or delivering the forms in person.
Who needs developmental referral and services?
01
Individuals who may benefit from developmental referral and services include children, adolescents, and adults who are experiencing challenges or delays in their development.
02
This can include individuals with autism spectrum disorder, intellectual disability, learning disabilities, speech and language disorders, behavioral issues, or any other developmental delays or disabilities.
03
Developmental referral and services may also be necessary for individuals who have experienced trauma, neglect, abuse, or other adverse childhood experiences that may affect their development.
04
Both children and adults who require additional support in areas such as education, employment, socialization, independent living skills, or emotional well-being may benefit from developmental referral and services.
05
It is essential to consult with professionals, such as pediatricians, psychologists, educational specialists, or social workers, to assess and determine the suitability of developmental referral and services for an individual's specific needs.
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What is developmental referral and services?
Developmental referral and services involve identifying children who may have developmental delays or disabilities and connecting them with appropriate resources and support to help them reach their full potential.
Who is required to file developmental referral and services?
Parents, caregivers, teachers, and healthcare professionals are often responsible for initiating the process of developmental referral and services.
How to fill out developmental referral and services?
To fill out developmental referral and services, individuals typically need to provide detailed information about the child's development, behavior, and any concerns that have been observed.
What is the purpose of developmental referral and services?
The purpose of developmental referral and services is to ensure that children with developmental delays or disabilities receive the appropriate interventions and support they need to thrive.
What information must be reported on developmental referral and services?
Information that may need to be reported on developmental referral and services includes the child's age, developmental milestones, any known medical conditions, and assessments of the child's development.
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