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DIRECTORATE FOR EDUCATIONAL SERVICES NATIONAL SCHOOL SUPPORT SERVICES FRA GAETANO PACE FORNO STREET, HAMRUN HMR 1100FAX: 21233513Autism Spectrum Support Team ReferralIn order for this referral to
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How to fill out early intervention service referral

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How to fill out early intervention service referral

01
Obtain a referral form from the early intervention service provider.
02
Fill out the personal information section with the child's name, date of birth, and contact information.
03
Provide detailed information about the child's developmental concerns or delays.
04
Include any relevant medical or diagnostic reports.
05
Write about the child's strengths and interests.
06
Indicate the services or therapies the child may need.
07
If applicable, mention any specific goals or objectives for the child's development.
08
Sign and date the referral form.
09
Submit the completed referral form to the early intervention service provider.

Who needs early intervention service referral?

01
Children who show signs of developmental delays or have disabilities.
02
Children who may benefit from early intervention services.
03
Parents or caregivers who have concerns about their child's development.

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Early intervention service referral is a process through which children who are suspected of having developmental delays or disabilities are referred to receive assessment and support services aimed at promoting their development.
Parents, guardians, healthcare professionals, or any individual who suspects a child may need early intervention services are typically required to file an early intervention service referral.
To fill out an early intervention service referral, complete the referral form with the child's personal information, details about the concerns regarding their development, and any relevant medical history. Ensure that all sections are filled out accurately.
The purpose of early intervention service referral is to identify and address developmental delays in children at an early age, providing them with the necessary support and services to improve their developmental outcomes.
The referral must report the child's name, date of birth, contact information, parents' names, concerns regarding the child's development, any previous evaluations or assessments, and any current services the child is receiving.
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