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Child Count Qualification and Identification Resources

National Child Count

Child Count Qualification and Identification Resources

National Child Count

This page was last updated on Nov 27, 2018 at 5:33 pm

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Referral/Eligibility Forms

  • Vermont - Referral form and brief overview of Vermont project.
  • Indiana - Eye-catching brochure from the Indiana project with referral information, referral form, and contact/social media information.
  • Missouri - One-page form from Missouri to facilitate the referral process for early intervention providers.
  • Example 4-Page DBCC Form [English]4-Page DBCC Form [Spanish] - A longer form for collecting all needed child count information after collecting initial referral information.

Example Resources on Identification/Qualification and Referral


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2 Comments

We hope you find them helpful Marites. They were already in our EI&R Toolbox, but Emma thought this was a good location for them too. I agree!

Robbin Bull

Posted 7 Mo. Ago by Robbin Bull

Thank you for these resources.

Marites Altuna

Posted 7 Mo. Ago by Marites Altuna

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