3-5 Child Find Referral

Child's Information:

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Supporting Documentation

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  • ASQ or developmental screenings
  • Assessment Data
  • Hearing and Vision Results
  • Hard copy of signed child find referral
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Referral and Consent to Share Information

If you are not the parent/guardian please make sure that a parent/guardian has been notified of the referral submission.


Parent/Guardian Consent for Screening

If not available consent for screening must be gained prior to screening.