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Get Help Me Grow Referral Follow-up Form - Helpmegrow
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How to fill out the Help Me Grow Referral Follow-Up Form - Helpmegrow online
Filling out the Help Me Grow Referral Follow-Up Form online can streamline the process of recording vital information about a child's referral. This guide provides detailed, step-by-step instructions to ensure that you accurately complete every section of the form, enhancing communication with the Help Me Grow program.
Follow the steps to complete the Help Me Grow Referral Follow-Up Form effectively.
- Press the ‘Get Form’ button to acquire the form and display it in your preferred editing tool.
- Enter today’s date in the designated field. This should reflect the date on which you are filling out the form.
- Provide the date of referral in the corresponding field. This is important for tracking the referral timeline.
- In the 'ATTN' section, write the full name of the person who referred the child.
- In the section titled 'Name of child(ren) who was/were referred:', enter the full names of the child or children referred.
- Complete the 'Date of Birth(s)' section with the appropriate birthdate(s) for the referred child or children.
- Fill in the 'Name of Parent(s)/Guardian' field with the name(s) of the parent or guardian associated with the referral.
- Provide the date of initial contact with the family. This information is useful for the Help Me Grow staff to track outreach efforts.
- Specify the Help Me Grow staff person who will be handling this referral in the designated space, along with their telephone number or email address for easy follow-up.
- Select the appropriate referral outcome from the list provided. Mark the option that best describes the result of the referral.
- In the comments section, provide any additional information or observations that may be relevant to the referral and the family.
- Once all sections are filled out, review the form for accuracy, then proceed to save changes, download, print, or share the form as needed.
Complete the Help Me Grow Referral Follow-Up Form online today to ensure support for the child and family.
Do You Have Concerns About Your Child's Development? You can make a referral to Early Intervention by calling 513-434-3322 or 513-785-6850. You may also submit a referral any time before your child turns three years old by visiting .ohioearlyintervention.org.
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