Get Mico Care Centre

The Mico Care Centre offers a General Referral Form for parents and guardians seeking assessments for children. This guide provides clear instructions on how to complete the form online, ensuring that users can accurately submit their child's information for evaluation.

Follow the steps to complete your Mico Care Centre form online:

1. Click ‘Get Form’ button to access the General Referral Form and open it in your preferred online format.
2. Begin by entering the name of the child in the designated fields for first, middle, and last names.
3. Record the child's date of birth using the provided format for day, month, and year.
4. Indicate who the child resides with by selecting from the options: mother, father, or guardian.
5. Complete the section regarding the duration the child has been in care by providing the relevant date.
6. Fill in the mother's details, including name, address, occupation, and all contact numbers and email.
7. Repeat the previous step for the father's information.
8. If applicable, enter the guardian's details, their relationship to the child, occupation, and contact information.
9. Provide the child's school and current grade information.
10. Respond to the question on why the child is being assessed at the Mico Care Centre by providing detailed information.
11. Tick the main concern(s) related to the child's assessment from the provided list.
12. Outline the specific problems you have noticed with your child in the relevant section.
13. Indicate how long you have observed these problems.
14. Describe any steps you have taken to address the issues.
15. If applicable, fill in the details of agencies the child has seen, including dates.
16. State what outcomes you hope to achieve from the assessment.
17. Answer the questions related to speech, gross motor skills, fine motor skills, and behavior and emotions by selecting yes or no.
18. Complete the referral section, including the name of the person who referred the child.
19. Authorize the Mico Care Centre to forward information by filling in the necessary details and signing.
20. Review all information entered for accuracy, then save changes, and choose to download, print, or share the form as needed.

Complete the Mico Care Centre General Referral Form online today to ensure your child's assessment process begins smoothly.