HI Part C eligibility categories with definitions and examples
Page for physician binder listing HI Part C eligibility categories with definitions and examples. One-sided page, no graphics, black print on white

Sheet or card listing HI eligibility categories with definitions
8.5" x 11" Sheet or 4"x 7" Card ready for lamination, listing HI eligibility categories with definitions ( and Part C services on reverse); referral phone and fax. Larger size is pierced for hanging on a pin or hook. Color graphics and photo.

Notice to referring individual of family decision to accept or refuse evaluation for eligibility determination, or inability to contact family
Colorful border around a form with spaces to record child identifying information and boxes to check disposition of referral. Also includes eligibility guidelines. Three designs available.

Brochure for parents describing early intervention
Brochure for parents describing early intervention includes brief summary of eligibility. 3-fold, color photos and graphic elements.

To access these items, link to Project Seek’s website:

http://www.seek.hawaii.edu

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