Needed Medical and Other Services to Help Your Family with ____________'s Development
Other services include medical and services that the child and/or family needs
but that are not required Part C Early Intervention Services. Other .medical.
services does not apply to routine medical services unless a child needs those
services and the services are not otherwise available or being provided. For
example: WIC, childcare, Housing Assistance. Richland County Birth to Three
Program is responsible to assist in the linking of families to needed services,
but not for payment of these services.
| Other Service/Provider | Location | Steps to be taken to link family with service and/or funding | Funding Source |
|---|---|---|---|
| _ | _ | _ | _ |
| _ | _ | _ | _ |
| _ | _ | _ | _ |
| _ | _ | _ | _ |
Adjustments to samples
A. Insert comment
box after table of services:
No medical or other services identified / Comments from team discussion.
Or
B. Add instructions as found below, underlined and in bold.
Other Services to Help Your Family with ____________'s Development
Other services include medical and services that the child and/or family needs but that are not required Part C Early Intervention Services. Other "medical" services does not apply to routine medical services unless a child needs those services and the services are not otherwise available or being provided. For example: WIC, childcare, Housing Assistance. Richland County Birth to Three Program is responsible to assist in the linking of families to needed services, but not for payment of these services.
Comments from team discussion must be entered here when no medical or other services are identified.