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Tell Us About Your Child Today's Date: ___/___/___Child's Home Phone #: (___)___Child's Name: ___ LASTFIRSTChilds Birthday: ___/___/_____Male __FemaleChilds Age:___M. I. Prefers to be called:___School:___Grade:___Who
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How to fill out my child was referred

01
Start by gathering all the necessary information about your child that needs to be included in the referral.
02
Contact the person or organization who referred your child to get any specific instructions or forms that need to be filled out.
03
Fill out all the required fields in the referral form. Be sure to provide accurate and detailed information about your child's background, medical history, developmental milestones, and any specific concerns or issues.
04
Attach any supporting documents or reports that might be required, such as medical records, school evaluations, or previous assessments.
05
Review and double-check all the information you have provided in the referral form to ensure its accuracy and completeness.
06
Submit the filled-out referral form and any accompanying documents to the appropriate person or organization as instructed.
07
Follow up with the person or organization to confirm that your child's referral has been received and processed.

Who needs my child was referred?

01
Your child may need to be referred by various individuals or organizations depending on their specific situation:
02
- Pediatricians or other healthcare providers may refer your child if they have concerns about their development, behavior, or overall well-being.
03
- Schools or educational institutions may refer your child if they suspect any learning disabilities or need additional educational support.
04
- Psychologists, psychiatrists, or other mental health professionals may refer your child for further assessment or intervention.
05
- Social workers or child welfare agencies may refer your child if they believe there are concerns related to their safety, well-being, or family situation.
06
- Advocacy groups or community organizations may refer your child for specialized services or advocacy support.
07
- Other parents or caregivers may refer your child if they have noticed any areas of difficulty or concerns.
08
It is important to consult with relevant professionals or agencies to determine if a referral is necessary for your child's specific needs.
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My child was referred is a process where a child is recommended or directed to a particular program, service, or professional for further evaluation or assistance.
Typically, parents, guardians, or teachers are required to file a referral for a child.
You can fill out a referral form provided by the school or organization recommending the child for further evaluation or assistance.
The purpose of my child was referred is to ensure that children receive the necessary support and resources to address any developmental, educational, or behavioral concerns.
The information reported on my child was referred may include the child's name, age, grade, reason for referral, and any relevant background information.
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