№ lp_1_2_53013
Administrative record used within a state early intervention system to document child information, functional status, assessments, and professional justification supporting the request and prescription of assistive technology under an IFSP.
Program: Illinois Early Intervention Program
State: Illinois
Type of document: Administrative form
Subject area: Early intervention services
Focus: Assistive technology justification
Target population: Infants and toddlers enrolled in Early Intervention
Associated plan: Individualized Family Service Plan (IFSP)
Required contributors: Early Intervention evaluator, service coordinator, physician
Required approvals: Physician signature
Content sections: Demographic information, provider information, IFSP details, assessment and justification
Purpose: Documentation of developmental necessity for assistive technology items
Price: 8 / 10 USD
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