Get Clbc Eligibility Form

Completing the Clbc Eligibility Form online is an essential step for individuals seeking eligibility for various support services. This guide provides a clear, step-by-step approach to ensure that the process is straightforward and user-friendly.

Follow the steps to complete the Clbc Eligibility Form effectively.

1. Click ‘Get Form’ button to obtain the Clbc Eligibility Form and open it in the designated editor.
2. Begin by providing the essential personal information in the review summary section. Enter the last name, first name, date of birth, and the date the form is completed.
3. Proceed to Section A which addresses Developmental Disability. Verify that you, as a psychologist, are registered with the CPBC or certified by the BCASP and confirm that you maintain competency in this area.
4. In Section A, document the assessments conducted by yourself or other evaluating psychologists by filling in their names and the respective dates of the reports reviewed.
5. Choose the appropriate checkbox to indicate whether the information aligns with the DSM-5 criteria for Intellectual Disability, ensuring to note any specifics as required.
6. Make additional comments if necessary and complete your professional identification by providing your printed name, professional designation, address, phone number, and email.
7. Sign the form and enter your registration or certification number to validate your completion of Section A.
8. Move on to Section B, which relates to the Personalized Supports Initiative (PSI). Again, confirm your qualifications as a psychologist.
9. Record the names and dates of the assessment reports reviewed for PSI eligibility and select the appropriate assessment tool used.
10. Indicate whether the Global Composite score is at least three standard deviations below the mean by selecting 'Yes' or 'No.' Provide any further comments as needed.
11. Finalize Section B by filling out your professional details similar to Section A, including signature and registration certification.
12. Once all sections are completed, save changes to your form. You can choose to download, print, or share the completed form as needed.

Start filling out the Clbc Eligibility Form online for a seamless application process.