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HOME AND COMMUNITY CARE SUPPORT SERVICES North Since MuskokaPage 0 of 5 Medical Referral Pediatric (under 18 years of age) HOME AND COMMUNITY CARE SUPPORT SERVICES North Since Muskox Pediatric Demographics 15
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How to fill out early intervention services referral

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How to fill out early intervention services referral

01
Contact your child's pediatrician to discuss concerns about your child's development.
02
Request an evaluation for early intervention services from your state's Early Intervention Program.
03
Fill out the referral form provided by the Early Intervention Program with accurate and detailed information about your child's development and any concerns you may have.
04
Submit the completed referral form to the Early Intervention Program either online or by mail.
05
Wait for the Early Intervention Program to review the referral and schedule an evaluation with a team of professionals to determine eligibility for services.

Who needs early intervention services referral?

01
Children under the age of 3 who are suspected of having or at risk for developmental delays or disabilities.
02
Parents, guardians, or caregivers who have concerns about their child's development and are seeking help and support.

What is Early Intervention Services Referral Ination/Barrie Form?

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Early intervention services referral is a process through which children who may have developmental delays or disabilities are identified and connected to support services that can help improve their development.
Parents, caregivers, educators, and healthcare professionals are typically required to file early intervention services referrals when they suspect that a child may need additional support.
To fill out an early intervention services referral, provide the child's personal information, details about the concerns regarding their development, and any relevant medical or educational history.
The purpose of early intervention services referral is to ensure that children with developmental delays receive timely access to services that can enhance their growth and development, thereby improving their long-term outcomes.
Information reported on an early intervention services referral typically includes the child's name, age, developmental concerns, family contact information, and any previous evaluations or services received.
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