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Birth to 3 Functional Vision Screening Tool Child's Names: ___ Birth Date: ___ Chronological Age: ___ Adjusted Age: ___ Gender: ___ Parent/Guardian: ___ Phone: ___ Address: ___ Provider Name/Title:
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How to fill out birth to 3 functional
How to fill out birth to 3 functional
01
Contact your local early intervention program to enroll in the Birth to 3 Functional assessment
02
Complete the necessary paperwork and provide information about your child's development and any concerns you may have
03
Schedule an evaluation with a team of professionals who will assess your child's strengths and areas of need
04
Work with the early intervention team to develop an individualized plan to address your child's developmental needs
Who needs birth to 3 functional?
01
Children aged birth to 3 years old who may have developmental delays or disabilities
02
Parents or caregivers who have concerns about their child's development and want to access early intervention services
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What is birth to 3 functional?
Birth to 3 functional is a program that provides early intervention services for children with developmental delays or disabilities from birth to 3 years old.
Who is required to file birth to 3 functional?
Parents or guardians of children who are eligible for the program are required to file for birth to 3 functional.
How to fill out birth to 3 functional?
To fill out birth to 3 functional, parents or guardians must provide information about their child's developmental needs and complete the necessary forms provided by the program.
What is the purpose of birth to 3 functional?
The purpose of birth to 3 functional is to ensure that children with developmental delays receive the necessary early intervention services to support their growth and development.
What information must be reported on birth to 3 functional?
Parents or guardians must report their child's developmental milestones, areas of concern, and any other relevant information that may help in designing an appropriate intervention plan.
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