This is a legal form that was released by the Ohio Department of Health - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HEA8021?
A: Form HEA8021 is a referral form for Ohio's Help Me Grow Program from PCSA in Ohio.
Q: What is Ohio's Help Me Grow Program?
A: Ohio's Help Me Grow Program is a comprehensive system of early intervention services for children from birth to age three.
Q: What is PCSA?
A: PCSA stands for Public Children Services Agency, which is responsible for child protection and welfare services in Ohio.
Q: What is the purpose of the referral?
A: The purpose of the referral is to identify children who may benefit from early intervention services provided by the Help Me Grow Program.
Q: Who can make a referral?
A: Referrals can be made by anyone concerned about a child's development, including parents, caregivers, healthcare professionals, or educators.
Q: What information is required in Form HEA8021?
A: Form HEA8021 asks for basic information about the child, including their name, date of birth, and any concerns or reasons for the referral.
Q: How can I submit Form HEA8021?
A: Form HEA8021 can be submitted to the local Help Me Grow Program office or the PCSA office in your county.
Q: What happens after the referral is submitted?
A: After the referral is submitted, the Help Me Grow Program will contact the family to schedule a developmental evaluation and determine eligibility for services.
Q: Are there any costs associated with the Help Me Grow Program?
A: No, the Help Me Grow Program is provided at no cost to eligible families.
Q: Can a referral be made for a child older than three years?
A: No, the Help Me Grow Program only provides services for children from birth to age three.
Form Details:
Download a fillable version of Form HEA8021 by clicking the link below or browse more documents and templates provided by the Ohio Department of Health.