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Comprehensive Planning
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Early Education (OCDEL)
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Data and Reporting
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Pennsylvania Department of Education
>
Early Learning
>
Early Intervention
>
Forms
Begin Main Content Area
Page Content
Forms
Authorization to Release Information for Children in Early Intervention
Authorization to Release Information for Infants/Toddlers with Hearing Concerns
Certification of Choice Infants, Toddler & Families Waiver - Spanish
(PDF)
Due Process Compliant Notice Infant Toddler
Due Process Compliant Notice Preschool
Early Intervention Evaluation Report Infant Toddler with Annotations
Early Intervention Evaluation Report Preschool with Annotations
Early Intervention Evaluation Report Infant Toddler
Early Intervention Evaluation Report Preschool
EI Communication Plan
EI Complaint Registry Form
EI Session Note Form
EI Session Note Form with Annotations
Individualized Education Program with Annotations (IEP)
Individualized Education Program
Individualized Family Service Plan (IFSP)
Individualized Family Service Plan with Annotations
Individualized Family Service Plan (IFSP) - Early Intervention Annotated
Infant Toddler Tracking Plan - Early Intervention Annotated
Intent to Register - Kindergarten Age Eligible
Intent to Register - Kindergarten Age Eligible - Annotated
Intent to Register - First Grade Eligible (Age of Beginners)
Intent to Register - First Grade Eligible (Age of Beginners) Annotated
Invitation to Participate in the IEP Team Meeting (Annotated)
Invitation to Participate in the IEP Team Meeting or Other Meeting
Invitation to Participate in a Transition Meeting
Mediation Request Form
Notice of Recommended Educational Placement Prior Written Notice (NOREP/PWN)
Notice to Recommended Educational Placement Prior Written Notice (NOREP/PWN)(Annotated)
Notice of Your Child's Transition To School Age Meeting
Pennsylvania Early Intervention Communication Plan
Pennsylvania Medical Assistance Billing Parental Consent
Pennsylvania Medical Assistance Billing Parental Notice
Pennsylvania Medical Assistance Billing Parental Notice with Annotations
Parent Consent to Excuse Members for IEP Meeting
Parental Consent to Excuse Members from Attending the IEP Team Meeting (Annotated)
Parent's Rights Agreement
Parent Rights Agreement Annotated
Permission to Evaluate
Permission to Evaluate (Annotated)
Permission to Re-evaluate
Permission to Re-evaluate (Annotated)
Procedural Safeguard Cover Letter
Procedural Safeguards Notice