Follow the steps to complete your form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the student's information. Ensure that the legal last name, first name, and middle name match the evidence of birth provided. Fill in the address and indicate whether the student is eligible for medical assistance by selecting 'Yes' or 'No'. Include the date of birth and select the gender options. If the student was born outside of the United States, indicate 'Yes' or 'No' and provide the number of months the student has attended U.S. schools.
3. Complete the adult responsible for the student section. Enter the names of adults who live at the current address. Specify their relationship to the student. Provide contact information for both adults, including two phone numbers each.
4. In the parent survey section, describe any concerns you have regarding your child. Answer whether your child has been referred to the Montgomery County Infants and Toddlers Program, and how you heard about Child Find. If your child has been assessed, provide the dates and locations of those evaluations.
5. Fill out the medical information section with the name of the authorized health care provider. Indicate any complications during birth, details of any hospitalizations, regular medications, allergies, and any hearing or vision concerns.
6. Check all areas of concern or possible delays in development. Mark any relevant boxes, and provide additional information where necessary.
7. Complete sections focusing on speech/language, motor skills, attention, self-help, socialization, and behavior. Provide details as prompted, marking any concerns and including any additional information that may be relevant.
8. Finally, review all entered information for accuracy. Once you are satisfied, save your changes. You can then download, print, or share the completed form as needed.

Start completing your forms online today to ensure your child receives the necessary support and services.