Family members who will be involved throughout _________________'s transition include:
Parent(s) _______________________________________________________________
Sibling(s) ______________________________________________________________
Grandparent/Aunt/Uncle/or other relative(s) ___________________________________
_______________________________________________________________________
Friends and community members who will be involved:
Babysitter(s)/Child Care Center _____________________________________________
Friends/Neighbors/Coworkers ______________________________________________
Other Community Members ________________________________________________
_______________________________________________________________________
Additional Resources (Names and Telephone Numbers):
Early Intervention System
Service Coordinator ____________________________________________________
Early Intervention Provider(s) ____________________________________________
Regional Early Intervention Collaborative __________________________________
School System
County Supervisor of Child Study__________________________________________
Child Study Team Contact Person _________________________________________
Statewide Parent Advocacy Network ________________________________________
Transition Family Resource Parent(s) _________________________________________
Learning Resource Center __________________________________________________
Special Needs Child Care Coordinator ________________________________________
Pediatrician______________________________________________________________
Other Supports and Resources
_____________________________________________________________________________
_____________________________________________________________________________
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