PDF
Word
Form 581-5150D-X Medical Condition Statement for Early Intervention Eligibility (Birth to Age 3) - Oregon
What Is Form 581-5150D-X?
This is a legal form that was released by the Oregon Department of Education - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 581-5150D-X?A: Form 581-5150D-X is the Medical Condition Statement for Early Intervention Eligibility for children from birth to age 3 in Oregon.
Q: What is the purpose of Form 581-5150D-X?A: The purpose of Form 581-5150D-X is to determine the eligibility of a child for early intervention services in Oregon.
Q: Who needs to fill out Form 581-5150D-X?A: Form 581-5150D-X needs to be filled out by a qualified medical professional or provider who has evaluated the child.
Q: What information is required on Form 581-5150D-X?A: Form 581-5150D-X requires information about the child's medical condition and the supporting diagnostic evaluation.
Q: Is there a deadline for submitting Form 581-5150D-X?A: The specific deadline for submitting Form 581-5150D-X may vary depending on your local Early Intervention office. It is best to contact them directly for more information.
Q: Are there any fees associated with Form 581-5150D-X?A: There are no fees associated with submitting Form 581-5150D-X for early intervention eligibility.
Q: What happens after submitting Form 581-5150D-X?A: After submitting Form 581-5150D-X, the child's information will be reviewed by the Early Intervention team to determine eligibility for services.
Q: Can I appeal if my child is not deemed eligible based on Form 581-5150D-X?A: Yes, you have the right to appeal the decision if your child is not deemed eligible based on the information provided in Form 581-5150D-X.
Q: Who should I contact for more information about Form 581-5150D-X?A: For more information about Form 581-5150D-X and the Early Intervention program in Oregon, you should contact your local Early Intervention office.
Form Details:
- Released on July 1, 2012;
- The latest edition provided by the Oregon Department of Education;
- Easy to use and ready to print;
- Available in Chinese;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form 581-5150D-X by clicking the link below or browse more documents and templates provided by the Oregon Department of Education.
Download Form 581-5150D-X Medical Condition Statement for Early Intervention Eligibility (Birth to Age 3) - Oregon
1
2
