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INTERVENTION SUPPORT REFERRAL: AUTISM Please email to: interventionsupport@fcoe.orgPlease Submit the Following: Current IFSP or IEPSigned Assessment Plan (if assessment in process) *Please do not

How to fill out early start referral and

How to fill out early start referral and

1. Obtain an Early Start Referral form from your child's pediatrician or healthcare provider.
2. Fill out the parent/guardian information section completely, including contact information.
3. Provide detailed information about the child's development and any concerns you may have.
4. Submit the completed form to the Early Start program coordinator or designated contact.

Who needs early start referral and?

1. Children under the age of 3 who may have developmental delays or disabilities.
2. Parents or caregivers who have concerns about their child's development and would like early intervention services.

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What is early start referral?

Early start referral is a process through which young children, typically under the age of three, are referred for early intervention services if they are suspected to have developmental delays or disabilities.

Who is required to file early start referral?

Individuals such as parents, healthcare providers, or educators who have concerns about a child's development are required to file an early start referral.

How to fill out early start referral?

Filling out an early start referral typically involves providing the child's personal information, details of the concerns regarding their development, and any relevant medical or educational history.

What is the purpose of early start referral?

The purpose of early start referral is to identify children who may benefit from early intervention services that can help improve their developmental outcomes.

What information must be reported on early start referral?

Information that must be reported includes the child's name, date of birth, contact information for the family, developmental concerns, and any relevant health and educational information.