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Get the free dphhs.mt.govassetsecfsdMontana Milestones Part C Referral Form

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Phone: (888) 5101211 Fax: (510) 9273117COMMUNITY REFERRAL FORM Please attach the ASQ, ASQ:SE, CHAT or other screening tools and any authorization forms (if available)REFERRING PROVIDER INFORMATION
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How to fill out dphhsmtgovassetsecfsdmontana milestones part c

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Step 1: Go to the website dphhs.mt.gov/assets/ecfsd/MontanaMilestonesPartC/
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Step 2: Read through the instructions provided on the website to understand the requirements for filling out the form.
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Step 3: Download the Montana Milestones Part C form from the website.
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Who needs dphhsmtgovassetsecfsdmontana milestones part c?

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Montana residents who have children with developmental disabilities or delays.
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The Montana Milestones Part C program is a federal and state funded program that provides early intervention services to infants and toddlers with developmental delays or disabilities.
Parents or legal guardians of infants and toddlers who are eligible for early intervention services are required to file the Montana Milestones Part C form.
The Montana Milestones Part C form can be filled out online through the DPHHS website or in person at a local office. It requires information about the child's development, any services currently being received, and contact information for the family.
The purpose of the Montana Milestones Part C program is to ensure that infants and toddlers with developmental delays or disabilities receive the early intervention services they need to reach their full potential.
Information such as the child's age, any known developmental delays or disabilities, current services being received, and contact information for the family must be reported on the Montana Milestones Part C form.
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