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This form is intended for use in the Early Intervention program for the RAY Project, facilitating the referral of children in need of support. It gathers essential information about the child, parent/guardian, and referrer, ensuring all data is managed in accordance with Data Protection laws. The form also assesses areas where the child may be experiencing difficulties and outlines the process for determining suitability for the program.
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How to fill out early intervention - referral

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How to fill out early intervention - referral

01
Gather information about the child, including name, age, and any relevant medical or developmental history.
02
Identify the specific concerns or issues that prompted the referral for early intervention.
03
Complete the referral form by providing the required details about the child and the family.
04
Include any information about previous assessments or services the child has received.
05
Submit the referral to the appropriate early intervention agency or program.
06
Follow up with the agency to ensure the referral was received and to understand the next steps.

Who needs early intervention - referral?

01
Children under the age of 3 who have developmental delays or disabilities.
02
Children who are at risk of developmental delays due to biological or environmental factors.
03
Families concerned about their child's growth, learning, or behavior.
04
Professionals who observe delays or challenges in children during assessments or screenings.

What is Early Intervention - Referral Ray Project Form?

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Early intervention referral is a process where concerns about a child's development are communicated to appropriate services for assessment and support.
Parents, caregivers, educators, and healthcare professionals are typically required to file an early intervention referral if they suspect a child may need additional support.
To fill out an early intervention referral, gather relevant information about the child, describe the concerns in detail, and submit the referral form to the designated early intervention agency.
The purpose of an early intervention referral is to identify children with developmental delays or disabilities early, so they can receive appropriate services and support to improve their outcomes.
Information required on an early intervention referral typically includes the child's name, date of birth, contact information, referral source, developmental concerns, and any relevant medical or educational history.
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