Los Pasitos Early Intervention Online Referral Form


All information about your child and family is confidential. Sometimes, your early intervention provider will need to obtain or share information about your child to determine eligibility or to arrange for services. Your early intervention provider must get your permission to request or share information with other agencies or service providers. It is up to you if you want to share this information. Only early intervention staff members who are involved with you and your child may look in your files. No one else may look at your files without your permission. Your early intervention provider must keep a record of who looks at your files. You may ask for a written explanation about how private information is protected by your early intervention provider. Your right to confidentiality is covered under federal law by both the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Family Educational Rights and Privacy Act (FERPA).