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EIC/INSP
REFERRAL FORM
(Confidential)BEFORE YOU FILL IN THIS FORM, PLEASE TAKE NOTE:
The enhanced Early Intervention Continuum Program for Infants and Children (EIC) 1 provides
developmental and therapy
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How to fill out early intervention colorado referral

How to fill out early intervention colorado referral
01
Contact Early Intervention Colorado to request a referral form.
02
Fill out the referral form completely and accurately with all necessary information about the child and family.
03
Submit the completed referral form to Early Intervention Colorado either online, by mail, or in person.
04
Await confirmation of receipt and further instructions from Early Intervention Colorado.
Who needs early intervention colorado referral?
01
Children under the age of three who have developmental delays or disabilities.
02
Families who have concerns about their child's development and are seeking support and services.
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What is early intervention colorado referral?
Early Intervention Colorado Referral is a process that connects families of eligible children with services to support their development, addressing areas like communication, motor skills, and social-emotional growth.
Who is required to file early intervention colorado referral?
Any individual who suspects a child under the age of three may be eligible for early intervention services, such as parents, caregivers, health professionals, or educators, is required to file a referral.
How to fill out early intervention colorado referral?
To fill out the Early Intervention Colorado Referral, you need to provide information about the child's developmental status, contact information for the family, and any concerns regarding the child's growth and learning.
What is the purpose of early intervention colorado referral?
The purpose of the Early Intervention Colorado Referral is to ensure that children with developmental delays or disabilities receive timely support and services to optimize their development and readiness for school.
What information must be reported on early intervention colorado referral?
The referral must include the child's name, date of birth, address, parent's contact information, and detailed descriptions of the child's developmental concerns and any previous services the child may have received.
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