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2342 Professional Pkwy. Suite 300 Santa Maria, CA 93455 Phone: (805) 9799941 Fax: (805) 2223041 www.holdsambeck.com ClientServices Holdsambeck.com Kern Regional Center Referral Form Service Coordinator:Today's
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How to fill out kern regional center referral

01
To fill out a Kern Regional Center referral, follow these steps:
02
Obtain the referral form from the Kern Regional Center website or office.
03
Fill in your personal information, including your name, address, phone number, and email.
04
Provide information about the individual who needs the referral, including their name, date of birth, and any relevant medical or developmental history.
05
Include any additional supporting documents, such as medical reports or evaluations, that may be helpful for the referral process.
06
Sign and date the referral form.
07
Submit the completed referral form and supporting documents to the Kern Regional Center either in person, by mail, or through their online submission portal.
08
Keep a copy of the completed referral form and supporting documents for your records.
09
Wait for the Kern Regional Center to review and process your referral. They may contact you for additional information or assessments.
10
Once the referral is approved, you will be notified of the next steps in accessing services through the Kern Regional Center.

Who needs kern regional center referral?

01
Individuals who require services and support for developmental disabilities in Kern County, California, may need a Kern Regional Center referral.
02
This includes individuals with intellectual disabilities, autism, cerebral palsy, epilepsy, and other developmental conditions.
03
Parents or legal guardians of minors with developmental disabilities may also need to obtain a Kern Regional Center referral on behalf of their child.
04
The referral is necessary to access the comprehensive services and resources provided by the Kern Regional Center.
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Kern Regional Center referral is a process by which individuals are referred to the Kern Regional Center for evaluation and potential services related to developmental disabilities.
Individuals seeking services for themselves or on behalf of someone with a developmental disability are required to file a referral.
To fill out a Kern Regional Center referral, you typically need to complete an application form, providing necessary details about the individual being referred, including personal information and the nature of their disability.
The purpose of the Kern Regional Center referral is to initiate the assessment process for individuals with developmental disabilities and to determine eligibility for services.
The referral must include personal information such as the individual's name, date of birth, contact information, and details about the developmental disability.
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