Early Intervention Forms for Families

As you meet with and talk to your Early Intervention Service Coordinator, there are different forms and documents that will help you through the program. Please click on the forms below to view and print documents.

If you have questions please reach out to your child's service coordinator or call our main office at (716) 278-1691.

INTAKE MEETING FORMS
Child Insurance Info
Consent for Release of Information
Consent to Evaluate
Parents Rights
Privacy Practices
Receipt of Privacy Practices
Evaluation Providers
Seven Things to Know about EI
Ongoing Service Coordinator
What Your Child's Blood Lead Test Means
The Flu

IFSP MEETING FORMS
Parent Participation Guidelines
IFSP Outcomes
IFSP Signature Page
IFSP Transition Plan
Lead Poisoning Information

TRANSITION FORMS
Transition Information Letter
Steps to Transition
EI - CPSE Comparison
CPSE Overview
Notification of Eligibility