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REFERRAL FOR EARLY START SERVICE STRIDE ASSESSMENT Please send completed form to Contra Costa County Office of Education (CC COE) Early Start STRIDE Program email STRIDE@cccoe.k12.ca.us Person Completing

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How to fill out referral for early start

01

Contact the Early Start program in your area to request a referral form.

02

Fill out all necessary information on the referral form, including your child's personal information, developmental concerns, and reasons for seeking services.

03

Submit the completed referral form to the Early Start program either online, by mail, or in person.

04

Wait for the Early Start team to review the referral and determine if your child is eligible for services.

Who needs referral for early start?

01

Children under the age of 3 who have or are at risk for developmental delays or disabilities may need a referral for Early Start services.

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What is referral for early start?

Referral for early start is a process of identifying and enrolling children in early intervention services to address developmental delays or disabilities.

Who is required to file referral for early start?

Parents, caregivers, healthcare providers, or educators may file a referral for early start if they suspect a child may have developmental delays or disabilities.

How to fill out referral for early start?

To fill out a referral for early start, individuals can contact their state's early intervention program or local service coordinator for guidance on the process.

What is the purpose of referral for early start?

The purpose of referral for early start is to ensure that children with developmental delays or disabilities receive timely access to appropriate services to support their growth and development.

What information must be reported on referral for early start?

Information such as the child's name, age, developmental concerns, family information, and contact details must be reported on the referral for early start.

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