Child Find Referral
FDLRS Island Coast Child Find works in partnership with the Lee and Collier County Public Schools to assist in the identification and screening of children ages 3 through 5 who are not enrolled in the public school system and who have or are at risk of developing disabilities or learning problems. Submission of this form serves as a request for a return phone call to schedule a screening. For more information, please view our website at http://www.leeschools.net/child-find. This on-line referral form serves as a direct link to FDLRS Island Coast Child Find services. If you have any questions about referrals for children of other ages please visit our website at http://www.leeschools.net/child-find or call our main number at (239) 337-8363.
Date *
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Time of request. *
Time
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What is the child's last name? *
Your answer
What is the child's first name? *
Your answer
What is the child's date of birth? *
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Please select one (1) option that best describes the child being referred. *
Is the child male or female? *
Who is making this referral? *
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