Get the free Early Intervention & Prevention Referral Form

This form facilitates referrals to the Early Intervention & Prevention Team within Cardiff Council Youth Service. It outlines the necessary criteria, participant details, actions undertaken, and required information for effective support targeting issues like attendance, behaviour, and well-being. Due to funding constraints, only fully completed referrals that meet specific criteria will be processed.

How to fill out early intervention prevention referral

How to fill out early intervention prevention referral

1. Gather necessary information about the child: name, date of birth, address, and parental details.
2. Review the child's developmental milestones to determine areas of concern.
3. Complete the referral form accurately, ensuring all sections are filled out.
4. Provide specific examples of observed behaviors or developmental delays.
5. Include any relevant medical or educational background that supports the referral.
6. Sign and date the referral form.
7. Submit the completed referral to the appropriate early intervention agency.

Who needs early intervention prevention referral?

1. Children from birth to age 3 showing developmental delays or disabilities.
2. Families concerned about their child's growth and learning.
3. Children at risk for developmental issues due to factors such as low birth weight, premature birth, or environmental factors.

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What is early intervention prevention referral?

Early intervention prevention referral is a process through which individuals or professionals refer a child or family to resources designed to address potential developmental delays or needs at an early stage.

Who is required to file early intervention prevention referral?

Professionals who work with children, such as educators, healthcare providers, and social workers, are typically required to file early intervention prevention referrals when they notice signs of developmental concerns.

How to fill out early intervention prevention referral?

To fill out an early intervention prevention referral, a referrer should provide detailed information about the child or family in question, including personal details, observed concerns, and any relevant background information that may assist in the intervention process.

What is the purpose of early intervention prevention referral?

The purpose of early intervention prevention referral is to identify and address developmental delays or challenges as early as possible to improve outcomes for children and families.

What information must be reported on early intervention prevention referral?

The referral must report details such as the child's name, age, contact information, the nature of the concerns, observations made by the referrer, and any previous interventions attempted.