This version of the form is not currently in use and is provided for reference only. Download this version of ADSD-NEIS Form 1001 for the current year.
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the ADSD-NEIS Form 1001?
A: The ADSD-NEIS Form 1001 is a State of Nevada Early Intervention Program Referral Form.
Q: What is the purpose of the ADSD-NEIS Form 1001?
A: The purpose of the form is to refer a child to the Nevada Early Intervention Program.
Q: Who uses the ADSD-NEIS Form 1001?
A: The form is used by professionals and individuals who suspect a child may need early intervention services in Nevada.
Q: What information is required on the ADSD-NEIS Form 1001?
A: The form requires information about the child, the referring party, and the concerns or reasons for the referral.
Q: How do I submit the ADSD-NEIS Form 1001?
A: The completed form can be submitted to the Nevada Early Intervention Services (NEIS) office in the county where the child resides.
Form Details:
Download a fillable version of ADSD-NEIS Form 1001 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.