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Effective dates: June 1, 2023, to August 31, 2024Please print in nickname: ___Age ___Birthday ___LastFirstMiddleParent\'s Year in school? Male ? Female EmailAddressCityStateZipPhonePager / cellMedical
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How to fill out early start cardinal care

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How to fill out early start cardinal care

01
Obtain an application form from the Early Start office or website.
02
Fill out all required personal information including parent/guardian names, contact information, and child's information.
03
Provide any relevant medical history or documentation requested.
04
Submit the completed application form either in person or through mail/email.

Who needs early start cardinal care?

01
Children who have developmental delays or disabilities and are under the age of 3 may benefit from Early Start Cardinal Care.

What is Early Start Cardinal Care Coverage - Enrollment Application ... Form?

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Early Start Cardinal Care Coverage - Enrollment Application ... template instructions

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Early start cardinal care is a program designed to provide support and resources for individuals with developmental disabilities.
Parents or legal guardians of children with developmental disabilities are required to file early start cardinal care.
Early start cardinal care can be filled out online or through a paper application provided by the local health department.
The purpose of early start cardinal care is to ensure that individuals with developmental disabilities receive appropriate care and support services.
Information such as the individual's medical history, current medications, and specific care needs must be reported on early start cardinal care.
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