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Date ___Clark County School District Las Vegas, Nevada Student Services DivisionCCF553 06/17STATEMENT OF ELIGIBILITY TEAM REPORT DEVELOPMENTALLY DELAYED Pupils Name ___ Birthdate ___ Grade ___ID #

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Individuals who have been diagnosed with developmental delays such as autism, Down syndrome, cerebral palsy, or intellectual disabilities

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What is developmentally delayed?

Developmental delay refers to when a child is significantly behind in achieving developmental milestones compared to typical development for their age.

Who is required to file developmentally delayed?

Parents, caregivers, or healthcare professionals may be required to report a child as developmentally delayed.

How to fill out developmentally delayed?

Filling out a developmental delay report may require providing detailed information about the child's development, behaviors, and any concerns noticed.

What is the purpose of developmentally delayed?

The purpose of reporting developmental delays is to ensure that children receive timely interventions and support to help them reach their full potential.

What information must be reported on developmentally delayed?

Information such as the child's age, specific developmental concerns, and observations of behavior or skills may need to be reported on a developmentally delayed form.

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