I'm a Professional
What does Raising Special Kids provide professionals caring for children with special needs?
We refer families to community resources and professionals and provide training on principles of Family Centered Care.
Please check our list of links for professionals
How Do I Refer Families to Raising Special Kids?
1) Use the referral form, "Family Waiver/Release of Information"
Family Waiver.pdf
Download and print the waiver/release pdf or copy and paste the text below into your word processor and print.
2) Be sure to obtain the parent's signature (required).
3) Fax completed form to (602) 242-4306.
Family Waiver/Release of Information
Raising Special Kids provides support, information, resources, training and assistance to families of children with disabilities or special health care needs in central and northern Arizona. All programs and services are offered free of charge in both English and Spanish, at all ages and stages of a child’s development.
By providing the following information, you are giving Raising Special Kids permission to initiate contact with the family you are referring for services. Upon receiving your referral, the family will be contacted within 48 hours in most cases, or immediately for urgent matters. All information is treated as confidential and will not be released to outside organizations or individuals. Raising Special Kids conducts 100% follow-ups on all referrals to ensure each family’s needs have been met.
I, ____________________________________am referring the following family to Raising Special Kids for support and services for their Child:
Signature:____________________________________________
Printed Name_________________________________________
Agency / Org.:________________________________________
Phone:_______________________
Family Information (please print)
Name:_______________________________________________
Phone:_______________________________________________
Address:_____________________________________________
City / Zip Code________________________________________
Child’s Name:_________________________________________
Date of Birth:__________________________________________
Child’s Diagnosis/Special Needs:_______________________________________________
_____________________________________________________
_____________________________________________________
Family Waiver / Release of Information
I hereby give permission to my care provider to release information to Raising Special Kids. I understand I can expect a phone call within a few days of receipt of this referral.
Signature of Parent/Guardian:__________________________________
Date:___________________________________
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After I send the referral, what can a family expect?
- All Services and programs are provided to families at no charge
- Contact is made with the family within 24-48 hours after receiving the referral
- Confidentiality is valued. Information about the family is never released without their prior written permission
- Information and assistance is available in English and Spanish
- 100% Follow-up on Parent-to-Parent Support
Training
- A Physician Residency Training program which includes a visit to the home of a child with a disability through our trained Volunteer Family Faculty network
- A Student Nursing Program offering education and training to pre-service nursing students
- A program designed for pre-service teachers in regular and special education related to special education services, Individual Education Plans (IEP's) and Section 504's.
- In Service Training for educational, medical or social service professionals on issues related to disabilities and special education
Other Workshops - for Professionals or Parent Groups
- Systems Overview - Obtaining services from DDD, CRS, AzEIP, and the Behavioral Health System
- Parent/Professional Collaboration
- What Do You Say When... ? - Responding to questions About Your Child's Disability
- Humor and Beyond - The Value of Humor in Caring for a Child with Disabilities
- Caring for the Caregiver - Managing Stress
Parent/Professional Collaboration – training for education, medical and social work professionals on how to understand the family prospective and build partnerships with families. (We also provide training for families on working with professionals, preparing for meetings, record-keeping, etc.)
All of these workshops are available in combinations (i.e. IEP/504), or as they relate to specific disabilities (i.e. 504 Plans for Children with Learning Disabilities). All workshops are available in English or Spanish, and may be presented at your site or at our office. For more information contact Kim at 602-242-4366 or email info@raisingspecialkids.org