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  4. Early Childhood Intervention Programs
  5. ECI Provider Forms

ECI Provider Forms

Required Elements

  • Required Elements for the IFSP (MS Word)
  • Required Elements for Periodic Review of the IFSP (MS Word)
  • Required Elements for the Annual Meeting to Evaluate the IFSP (MS Word)
  • Required Elements for LEA Notification and Transition Conference (MS Word)
  • Required Elements for IFSP Transition Steps and Transition Services (MS Word)
  • Required Elements for Prior Written Notice and Consent (MS Word)
  • Required Elements for the Family Cost Share Agreement (MS-Word)
  • Required Elements for the Consent to Bill and Release Information (MS-Word)
  • Required Elements for the Family Cost Share Adjustment (MS-Word)

Respite Services Forms and Instructions

Respite services are offered in Texas as a project funded by the Texas Legislature. Provision of funding for respite services is not required under Part C of IDEA. The forms and instructions found below are to be used in administering the state respite program.

  1. Quarterly Respite Report (Excel)
  2. ECI Respite Funding Agreement
  3. ECI Respite Funding Agreement (Spanish)
  4. ECI Respite Funding Voucher
  5. ECI Respite Funding Voucher (Spanish)

Standardized Forms

  • Form 4202, Contractor Notice of Appeal Rights
  • Form 4201, Surrogate Parent Identification of Need and Assignment (English and Spanish)
  • Form 4205, Consent by Foster Parents or Medical Consenters for Health Passport (English and Spanish)
  • Form 4207, IFSP Services Pages (English and Spanish)
  • Form 4208, ECI TKIDS, TRAD, EIS Registry, and Extranet Security Agreement
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