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                Get Dc Strong Start Referral Form 2012-2025
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How to fill out the DC Strong Start Referral Form online
Filling out the DC Strong Start Referral Form online is an important step in accessing early intervention services for your child. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to complete the DC Strong Start Referral Form.
- Click the ‘Get Form’ button to access the DC Strong Start Referral Form and open it for editing.
 - Enter the child's identification information. Provide the child's legal name, date of birth, gender, ethnicity/race, insurance name, and insurance number. Ensure all details are accurate to avoid processing delays.
 - Provide the details for the parent(s) or legal guardian, including their names, contact information, and address. Specify the primary language spoken by the parent(s) or legal guardian.
 - If applicable, include information for foster parents, such as their names and contact details. Indicate how long the child has resided at the current address.
 - Complete the referral information section. Write the name of the referring person and their agency or practice, including any contact numbers and fax numbers required.
 - Indicate whether you are a qualified health professional and if a developmental screening has been completed. Provide details on the type of screening tools used if applicable.
 - Check the appropriate box that describes the child's current situation regarding developmental delays or diagnoses. Include additional descriptions as needed.
 - Sign and date the form as the referring person, ensuring all information provided is complete and accurate.
 - On the consent to release information page, the parent or legal guardian should authorize the release of relevant information by completing the indicated sections and signing the document.
 - Once all sections are complete, save the changes, and you may choose to download, print, or share the form as needed.
 
Complete your documents online today to ensure timely support for your child's needs.
Filling out a referral form starts with gathering necessary information about your child and any observed developmental concerns. The DC Strong Start Referral Form is straightforward and guides you through each section to collect pertinent details. Once completed, submit it to initiate a response from professionals who can evaluate your child's needs.
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