Forms
Administrative Unit (AU)/School District Notification
Infographics for Parents about Transition
Infographics for Parents about the Extended Part C Option
English
Spanish (under construction)
Authorization to Release Information
CHP+ IFSP Health Insurance Prior Authorization Request Form
Prior Written Notice and Consent for Initial Evaluation/Assessment
A Family Guide to the Coordinated System of Payments
Declining EI Services/Declining Participation in EI Colorado Program
Formal Dispute Resolution Request
Extended Part C Option
English Parent Information on the Extended Part C Option
English Consent for the Extended Part C Option
Spanish Parent Information on the Extended Part C Option
Spanish Consent for the Extended Part C Option
Family Assessment Tools
FACETS
English Conversation Starters
English Getting to Know Your Child
Spanish Conversation Starters
Spanish Getting to Know Your Child
Routines Based Interview (RBI) Protocol
RBI/SAFER Combination
SAFER
Notice of Child and Family Rights and Procedural Safeguards Brochure
Health Insurance Authorization
Individualized Family Service Plan
Insurance Exemption/Declination
Prior Written Notice
Referral Status Update
Referral and Release Form
Telehealth
English Recording Statement
Spanish Recording Statement
English Family Technology Checklist
Spanish Family Technology Checklist
Telehealth Provider Checklist
Telehealth Training Complete- Now What?