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CY'22: It Takes a Village Registration Form
This Early Intervention Program presentation will provide an overview of the Early Intervention process (
from referral to transition
) to parents. You will receive a link via email to join the presentation after you have registered.
*
1.
Name
(Required.)
Firstname:
Lastname:
*
2.
Email address
(Required.)
*
3.
Zip code
(Required.)
*
4.
Please select the date and time you would participate.
(Required.)
CLOSED FOR 2022. SEE NEW DATES FOR 2023 COPY LINK BELOW AND OPEN IN YOUR BROWSER
https://nycdohmh.surveymonkey.com/r/CY23ParPres
*
5.
How did you hear about the presentation?
(Required.)
Text 2 Families
Early Intervention Outreach
Provider (hospital, WIC, faith-based, library, etc..)
Facebook
Partnership/Network (Jamaica Community Partnership, East Flatbush Community, etc...)
Other
Friend
Family
