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INFANT TODDLER AUTISM PROGRAM REFERRAL FORM Email completed form to itap@wustl.edu Family Information Child Name Date of Birth Address CityStateParent/Guardian Name Parent/Guardian Phone NumberReferring
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How to fill out infant toddler autism program

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How to fill out infant toddler autism program

01
Contact your local early intervention program to inquire about the infant toddler autism program
02
Schedule an evaluation for your child to determine eligibility for the program
03
Once eligibility is confirmed, work with a team of specialists to create an individualized treatment plan for your child
04
Attend regular therapy sessions and follow the recommended strategies for helping your child with autism

Who needs infant toddler autism program?

01
Infants and toddlers who have been diagnosed with autism spectrum disorder
02
Parents and caregivers who are looking for early intervention services for their child with autism
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Infant toddler autism program is a program designed to provide early intervention services for infants and toddlers who have been diagnosed with autism.
Parents or legal guardians of infants and toddlers diagnosed with autism are required to file the infant toddler autism program.
To fill out the infant toddler autism program, parents or legal guardians must provide information about the child's diagnosis, current services being received, and goals for the intervention program.
The purpose of the infant toddler autism program is to provide early intervention services to help infants and toddlers with autism reach their full potential.
Information such as the child's diagnosis, current services being received, and goals for the intervention program must be reported on the infant toddler autism program.
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