Get Child Find Referral Form - Early Stages - Earlystagesdc 2020-2025

Filling out the Child Find Referral Form is an essential step in ensuring children receive the early intervention services they may need. This guide provides a clear, step-by-step approach to completing the form online, helping you navigate each section with confidence.

Follow the steps to complete the referral form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Child Find Referral Form and open it in the editing platform.
2. Begin by entering the child's name in the 'Child' field provided.
3. Input the child's date of birth in the 'Date of Birth' section.
4. Fill in the parent or guardian's name in the 'Parent/Guardian' field.
5. Indicate the relationship to the child in the corresponding section.
6. Provide the full address of the parent or guardian.
7. Enter the home phone number in the designated field.
8. Fill in the cell or work phone number as applicable.
9. Add the email address of the parent or guardian.
10. Specify the primary language spoken by the parent or guardian.
11. Provide the name of the person making the referral in the 'Name of Referrer' field.
12. Indicate the organization the referrer is associated with.
13. Enter the referrer's email address.
14. Clearly state the reason for referral in the provided section.
15. Record today's date in the appropriate field.
16. Check any applicable boxes that relate to the child's educational context, such as attendance in private school, involvement with CFSA, or enrollment in Head Start.
17. Provide consent for information release by completing the signature section, ensuring to print the names as required.
18. Once all fields are completed, proceed to save the changes, and then download, print, or share the completed form as necessary.

Complete the Child Find Referral Form online to ensure timely access to necessary services for the child.