Early Intervention Referral Form - When possible, please use the standard referral form and fax the completed forms to the. Referrals for the early intervention program (eip) should be made for children less than 3 years of age. For information about the statewide program, contact the nys. Make a list of concerns. Early intervention program referral form. Start by making a list of your concerns and questions. Contact your eio for information about your local program or to refer a child. If a child is referred less than 45 days from. For example, you may wonder if it’s ok that your toddler isn’t. • parents are encouraged to.
• parents are encouraged to. Early intervention program referral form. If a child is referred less than 45 days from. Start by making a list of your concerns and questions. When possible, please use the standard referral form and fax the completed forms to the. Referrals for the early intervention program (eip) should be made for children less than 3 years of age. To make a referral by phone: Anyone can use this form to refer a child to early intervention (ei). For information about the statewide program, contact the nys. Contact your eio for information about your local program or to refer a child. Make a list of concerns. For example, you may wonder if it’s ok that your toddler isn’t.