Informed Consent
Forms
Transistion
Whats What at DPH
Time Lines
100
Authorization to release Information
What is form needed to be completed and signed by parent before sending out information
100
Income attestation
What is the form used to verify a family's income for the DPH parent fee
100
90 Days Before the Child's 3rd birthday
What is the date you must hold a transistion planning meeting -with or without the LEA
100
Regional Consultation Program
What is the program that can provide some extra assistance to families with complex needs
100
10 days after last service
What is the period of time a case should be discharged by
200
At the annual or re-evaluation evaluation
What is an event where you must get a parents consent for an assessment
200
IFSP Review Page
What is formed used document any time you review, add or change IFSP services
200
Transistion Evaluation
What is what is completed by the service coordinator to update the information in the last evaluation.
200
Regional Specialist
What is the title of Lynne Deschamps
200
45 days
What is the timeline for an IFSP to be started after the date of the referral
300
Written Notice to a Meeting
What is a document that must be completed prior to any IFSP or other meeting like a transistion meeting.
300
At least every 6 months
What is time line for reviewing formally the IFSP
300
In the Main Chart
What is a copy of everything sent to the LEA
300
Focused Monitoring
What is the event that the program will be going through in March to review our transistion practices
300
Calendar Days
What is the way timelines are figured.
400
At any time
What is when a parent can withdraw their consent for a release of information
400
Initial IFSP; Evaluation; Transistion meeting; IFSP reivew
What is times in service delivery that you must do a written prior notice.
400
Completed transistion plan
What is a required element for all children who have an IFSP
400
ICC
What is Interagency Coordinating Counsel an advisory board to DPH
400
21 days
What is the time recommended by DPH to complete a discharge transistion plan.
500
Doctor, counselor, DCF, daycare, community partners
What is typical people you ask permission to share information.
500
Initial Appointment Tracking form is turned in when the IFSP is handed into the office
What is the form that is very important to track complaince with IFSP timelines.
500
LEA Notification date
What is when the parent signs the opt in or opt out form or if a admitted after 2 1/2 - the date of the referral.
500
Annual Report
What is the report done once a year that looks at timeliness of services, IFSP time lines and transistion
500
Before the last date of service
What is the time period that you should notify group services that a child will be discharged
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