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Early Intervention for Autism in Alabama (Birth–Age 3)

For the youngest children, Alabama's Early Intervention System can start services before a formal diagnosis. Here's how to get a referral, what's covered, and how the age-3 handoff to preschool works.

Sources last verified November 5, 2026. This page informs — it is not medical, legal, or financial advice. Always confirm with the agency or a professional.

The Age-3 Transition: Moving from Early Intervention to Preschool Special Education in Alabama

If your child has been getting Early Intervention, the third birthday is a real cliff you need to plan around. Early Intervention and school special education are two different programs, run by two different agencies, under two different parts of the same federal law — and your child's spot in the first one ends the day they turn 3. The goal is a smooth handoff so there's no gap. It does not happen automatically; it happens because the transition process is followed.

The two programs
  • Birth to 3 — Early Intervention (Part C). Alabama's Early Intervention System (AEIS) is run by the Alabama Department of Rehabilitation Services (ADRS). Your child has a service coordinator and an IFSP (Individualized Family Service Plan) built with you.
  • Age 3 and up — Preschool Special Education (Part B). This moves to your local school system (the local education agency), overseen by the Alabama State Department of Education. The IFSP is replaced by an IEP (Individualized Education Program), and eligibility is decided under the school's disability categories — which are not identical to Early Intervention's rules. Some children who qualified for EI qualify for Part B; some don't. That difference is the most common place a lapse happens.
How the handoff is supposed to work

Per ADRS, your EI program must help your family transition your 3-year-old into a school setting. Your service coordinator schedules a transition meeting with the local school to discuss public pre-K options, and a written transition plan covers available placements, your preferences, and the steps to get there. You are never required to accept a placement — families choose.

Federal rules (IDEA Part C) require this transition conference to be offered at least 90 days before your child's third birthday — and it can happen up to 9 months before. So the conversation should start when your child is around 2½, not at 2 years 11 months.

What parents should actually do
  1. Don't wait for the phone to ring. As your child nears 2½, ask your service coordinator directly: "When is our transition conference, and is a referral going to my school district?"
  2. Make sure the school evaluates in time. The local school system has to evaluate your child and, if eligible, have an IEP in writing by the third birthday so services don't lapse. Summer birthdays and late referrals are where gaps appear — push for dates in writing.
  3. Keep your own file. Bring the IFSP, evaluations, and any autism diagnosis to the school meeting.
  4. Get free help understanding your rights. The Alabama Parent Education Center (APEC) supports families through exactly this transition and the IEP process: (334) 567-2252 or toll-free (866) 532-7660, apec@alabamaparentcenter.com.
Who to call
  • ADRS Early Intervention / Child Find (toll-free): 1-800-543-3098
  • ADRS state office: 334-293-7500
  • Online referral: NeverTooEarlyAL.org

If your child is close to 3 and you haven't heard about a transition conference, call Child Find today. This is about keeping support continuous — not restarting from zero.

This is general information, not legal or medical advice. For your child's specific eligibility and timeline, contact your service coordinator, your local school system's special education office, or APEC.

Sources: ADRS Early Intervention · ADRS · Alabama Parent Education Center · Alabama Achieves (ALSDE)

Help Me Grow Alabama: Free Statewide Intake Line for Children Birth–8 with Developmental Concerns

Help Me Grow Alabama: Free Statewide Intake Line for Children Birth–8

What Is Help Me Grow Alabama?

Help Me Grow Alabama (HMG) is a free, confidential information and referral service that connects families of children from birth to age 8 to health and developmental resources in their community [1]. It is a program of the Alabama Partnership for Children and an affiliate of the national Help Me Grow Network [2]. HMG is funded by the Alabama Department of Early Childhood Education through the Preschool Development Grant and the Alabama Department of Human Resources [3].

HMG is not a direct service provider — instead, it acts as a navigation hub, connecting your family to the right programs and services [4]. As staff put it: "We don't just hand you a phone number. We help you navigate every step." [5]

> Key fact for autism families: HMG is not just for children with diagnosed delays. It is for any caregiver who has questions about development, behavior, or parenting [5].

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Who Can Use Help Me Grow Alabama?

  • Any family in Alabama with a child from birth through age 8 [1]
  • Parents or caregivers with concerns about a child's development, behavior, or learning [6]
  • Families who want guidance on developmental milestones even without a formal concern [7]
  • No income requirement or diagnosis is needed to contact HMG

HMG serves all 67 counties in Alabama [8].

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How to Contact Help Me Grow Alabama

There are three ways to get in touch:

| Method | Details | |---|---| | Phone (toll-free) | 1-833-939-0336 | | Online intake form | helpmegrowalabama.org | | Email | referrals@apcteam.org | | Fax | 334-356-8230 [9] |

Spanish-language services are available (Servicios disponibles en Español) [1].

You can call the statewide number and simply ask any question you might have about your child's development [10].

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How to Make a Referral

There are four ways a family or provider can make a referral to Help Me Grow Alabama:

  1. Call the intake line directly: Dial 1-833-939-0336 [10]
  2. Complete the online intake form: Visit helpmegrowalabama.org/families/enroll-today/ [11]
  3. Submit the Universal Referral Form by fax: Providers (doctors, early childhood programs, schools) can download the form and fax it to 334-356-8230 [9]
  4. Email the referral team: Send to referrals@apcteam.org [12]
What information is gathered during the referral?

When you complete the referral form (online or by fax), you are:

  • Signing up to receive free information from HMG on child development and community resources [13]
  • Authorizing (with your permission) the exchange of information between HMG and any provider you list [13]
  • Sharing the reason for referral and any existing services already in place [14]

A parent or legal guardian's signature is required to authorize sharing information between HMG and other providers such as Alabama's Early Intervention System [9].

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What Happens After the Referral?

Step 1: Intake Specialist Contact

After you submit the referral form or call the intake line, a member of the Help Me Grow team will contact the family [15]. Since 2019, all intakes are handled in-house by a dedicated Intake Specialist based at the state office [8].

Step 2: Connected to a Care Coordinator

Once the initial intake is completed, the family is connected to a Care Coordinator who will [16]:

  • Answer your questions about your child's development, behavior, and learning
  • Research and identify services appropriate for your child's specific needs
  • Make referrals to community resources and services
  • Follow up to make sure a connection to services was actually made
  • Enroll your family in HMG's developmental surveillance program (if you're interested)

Care Coordinators are specially trained to handle concerns related to health, development, behavior, and learning. They offer personalized, sensitive, and culturally-relevant support [17].

Step 3: Developmental Screening (Ages 0–5)

If your child is between 1 month and 5½ years old, HMG can administer a free developmental screening using validated tools [18]:

  • ASQ-3 (Ages & Stages Questionnaire, 3rd Edition): Screens children across five areas — Communication, Gross Motor, Fine Motor, Problem Solving, and Personal-Social [19]
  • ASQ:SE-2 (Social-Emotional version): Focuses specifically on behavior and social-emotional development, including a child's ability to calm down, take direction, follow rules, communicate, and interact with others [20]

Both questionnaires are available in English and Spanish [20].

> Important: Developmental screenings are not diagnoses. They show whether further evaluation may be needed [21]. A positive screening result means a Care Coordinator will help connect you to the next appropriate step, such as Alabama's Early Intervention System (for children under age 3) or other specialist evaluations.

Step 4: Referrals to Community Services

Based on your child's needs, Help Me Grow can refer you to a wide range of services [22]:

  • Early intervention agencies (for children birth–3)
  • Family therapy and behavioral support services
  • Adaptive activities and parenting classes
  • Head Start, childcare, and family resource centers
  • Special education programs (for children ages 3–8)
  • Title V special health care needs programs

HMG actively maintains an up-to-date inventory of community resources so families always get current information [23].

Step 5: Follow-Up

HMG does not close the door once a referral is made. Care Coordinators follow up with families to confirm that services were utilized and that the connection was successful [24]. With the family's permission, HMG can also send the referring provider (such as a pediatrician) a summary of the developmental questionnaire and any resources the family was connected to [25].

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Why Early Identification Matters

  • About 30% of Alabama families report at least one concern about their child's development [26]
  • An estimated 20% of children are at risk for developmental delays [26]
  • Fewer than half of children with developmental delays are identified before starting school [27]
  • Early, high-quality intervention services can change a child's developmental trajectory and are more effective and less costly when provided early in life [26]

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Books, Balls & Blocks — Free Community Screening Events

HMG also hosts Books, Balls & Blocks, free community events where children (birth to 5½ years) can receive developmental screenings in a fun, play-based setting [28]. Parents complete the ASQ-3 while their child plays, and professionals score the questionnaire on-site. Families receive follow-up information about whether their child's development appears on schedule, needs monitoring, or requires further assessment [29].

Check helpmegrowalabama.org for upcoming event dates and locations.

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Quick Reference

| | | |---|---| | Phone | 1-833-939-0336 (toll-free) | | Website | helpmegrowalabama.org | | Email | referrals@apcteam.org | | Fax | 334-356-8230 | | Ages served | Birth through age 8 | | Cost | Free | | Languages | English and Spanish | | Counties served | All 67 Alabama counties |

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Sources

  1. Alabama Partnership for Children – Help Me Grow Alabama: https://alabamapartnershipforchildren.org/our-work/help-me-grow/
  2. Alabama Chapter, American Academy of Pediatrics – Help Me Grow Alabama: https://www.alaap.org/help-me-grow-new
  3. Help Me Grow Alabama – Family Resources: https://helpmegrowalabama.org/families/families-resources/
  4. Alabama Family Central – Help Me Grow Alabama: https://alabamafamilycentral.org/service/help-me-grow-alabama/
  5. United Way of Central Alabama – Help Me Grow Turns Concern into Confidence: https://www.uwca.org/help-me-grow-turns-concern-into-confidence-for-alabama-families/
  6. Wiregrass Daily News – Help Me Grow Alabama Offers Free Support for Families: https://wiregrassdailynews.com/news/alabama/2025-08-27/help-me-grow-alabama-offers-free-support-for-families/
  7. Help Me Grow Alabama – Your Child's Development: https://helpmegrowalabama.org/families/your-childs-development/
  8. Alabama Chapter, American Academy of Pediatrics – Help Me Grow Alabama (statewide expansion): https://www.alaap.org/help-me-grow-new
  9. Alabama Department of Rehabilitation Services – HMG Release of Information Form: https://www.rehab.alabama.gov/documents/ei/for_service_coordinators/Help%20Me%20Grow%20Release%20of%20Info%20Form.pdf
  10. Help Me Grow Alabama – Your Child's Development (phone line): https://helpmegrowalabama.org/families/your-childs-development/
  11. Help Me Grow Alabama – Enroll Today: https://helpmegrowalabama.org/families/enroll-today/
  12. Children's of Alabama – Developmental Medicine Clinic: https://www.childrensal.org/developmental-medicine-clinic
  13. Alabama Department of Rehabilitation Services – Universal Help Me Grow Referral Form: https://rehab.alabama.gov/documents/ei/for_service_coordinators/Universal-Help%20Me%20Grow-2019%20(fillable).pdf
  14. Help Me Grow Alabama – Universal Referral Form (2017): https://helpmegrowalabama.org/wp-content/uploads/2017/06/Universal-Referral-Form-2017.pdf
  15. Help Me Grow Alabama – Refer a Child/Family: https://helpmegrowalabama.org/providers/refer-a-child-family/
  16. Alabama Chapter, American Academy of Pediatrics – Care Coordinator process: https://www.alaap.org/help-me-grow-new
  17. Help Me Grow Alabama – FAQ: https://helpmegrowalabama.org/resources/faq/
  18. Help Me Grow Alabama – Service Providers: https://helpmegrowalabama.org/providers/service-providers-help-me/
  19. Help Me Grow Alabama – Service Providers (ASQ-3 domains): https://helpmegrowalabama.org/providers/service-providers-help-me/
  20. Help Me Grow Alabama – Developmental Screening: https://helpmegrowalabama.org/families/developmental-screening/
  21. Help Me Grow Alabama – FAQ (screening not a diagnosis): https://helpmegrowalabama.org/resources/faq/
  22. Alabama Chapter, American Academy of Pediatrics – cross-sector referrals: https://www.alaap.org/help-me-grow-new
  23. Help Me Grow Alabama – What We Do: https://helpmegrowalabama.org/what-we-do/
  24. Alabama Family Central – Help Me Grow Alabama (follow-up): https://alabamafamilycentral.org/service/help-me-grow-alabama/
  25. Help Me Grow Alabama – Health Care Providers: https://helpmegrowalabama.org/providers/health-care-providers-help-me-grow/
  26. Help Me Grow Alabama – What We Do (data): https://helpmegrowalabama.org/what-we-do/
  27. Help Me Grow Alabama – FAQ (identification rates): https://helpmegrowalabama.org/resources/faq/
  28. Alabama Partnership for Children – Books, Balls & Blocks: https://alabamapartnershipforchildren.org/our-work/help-me-grow/
  29. Alabama Partnership for Children – Books, Balls & Blocks follow-up: https://alabamapartnershipforchildren.org/our-work/help-me-grow/

Alabama Early Intervention System (AEIS): Eligibility, Referral, and Services for Children Birth–Age 3

> Quick Contact — Child Find Referral Line: 1-800-543-3098 (Voice/TDD) | En Español: 1-866-450-2838 > Online Referral: NeverTooEarlyAL.org | Email: REHAB--Childfind@rehab.alabama.gov > Mail/Fax: ADRS/EI, 602 S. Lawrence St., Montgomery, AL 36104 | Fax: (334) 293-7393 > Also contact Help Me Grow Alabama: 1-833-939-0336 | HelpMeGrowAlabama.org

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What Is Alabama's Early Intervention System?

Alabama's Early Intervention System (AEIS) is a statewide program that provides supports and services for infants and toddlers under age 3 who have a developmental delay or a medical diagnosis that could delay normal development [1]. The lead agency is the Alabama Department of Rehabilitation Services (ADRS), which runs AEIS in partnership with the Alabama Institute for the Deaf and Blind (AIDB) [2]. Services are delivered through a network of local independent early intervention programs across all 67 Alabama counties [3].

The goal of early intervention is to help young children with disabilities and developmental delays become active participants in their early childhood years and beyond [4]. A key focus is training and equipping parents and caregivers so they can be their child's first and most effective teachers in everyday routines [5].

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Who Is Eligible?

Your child may be eligible for AEIS if they are birth to age 3 AND meet one of the following criteria [6]:

  • Diagnosed condition: Has a diagnosed physical or mental condition that has a high probability of resulting in developmental delay (for example: chromosomal abnormalities, genetic or congenital disorders, sensory impairments, inborn errors of metabolism, nervous system disorders, congenital infections, severe attachment disorders, or exposure to toxic substances) [7].
  • Developmental delay: Is experiencing a 25% or greater developmental delay in one or more of the following areas [8]:
  • Cognitive development
  • Physical development (including vision and hearing)
  • Communication/language development
  • Social or emotional development
  • Adaptive skills development

> Note on prematurity: The diagnosis of prematurity as an eligible condition can only be used for children up to 18 months of age, and a premature child's age is not adjusted after 18 months [9].

How Is Eligibility Determined?

Eligibility is established in one of three ways [10]:

  1. A 25% or greater delay on an approved evaluation tool in at least one developmental area.
  2. A documented medical diagnosis likely to result in developmental delay.
  3. Informed Clinical Opinion (ICO) — used for initial eligibility when test scores alone may not confirm a delay, but qualified specialists have clinical reason to believe the child needs services.

Eligibility is determined after a family is assigned a Service Coordinator who completes a full evaluation with the child. This evaluation can be done at your home, daycare, or another setting that is comfortable for your family [11]. All early intervention services are voluntary — family participation is never required [12].

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How to Make a Referral (Step-by-Step)

Anyone who is concerned about a child's development — parent, doctor, daycare provider, neighbor — can make a referral to AEIS at no cost [13].

Step 1 — Identification

As a parent, the process begins the moment you notice something that concerns you about your child's development, or when a doctor identifies a condition that may cause delays [14]. Hospitals, pediatricians, well-baby clinics, Head Start programs, daycares, and social service agencies are all common places where children are first identified [15].

Step 2 — Make a Child Find Referral

You can refer your child three ways [16]:

| Method | Details | |---|---| | Phone | Call Child Find: 1-800-543-3098 (Voice/TDD) or En Español 1-866-450-2838 | | Online | Visit NeverTooEarlyAL.org to submit a referral form | | Fax or Email | Fax form to (334) 293-7393 or email REHAB--Childfind@rehab.alabama.gov |

> Important timing note: If a professional (such as your child's doctor) is making the referral on your behalf, they must do so within two working days of identifying your child's concern [17].

Information Required to Make a Referral

The following information will be requested [18]:

  • Child's legal name, date of birth, and race/ethnicity
  • Reason for the referral (area of concern)
  • Parent/guardian contact information (name, address, phone)
  • Name and phone number of the child's primary care physician
  • Name and phone number of the person making the referral and their relationship to the child
  • Whether the family has agreed to the referral

A Social Security number is requested but not required — if unavailable, a substitute number can be assigned [19].

Step 3 — What Happens After the Referral?

Once Child Find receives the referral, it is assigned to a District Early Intervention Coordinator (DEIC) in your community within two days [20]. The local coordinator will contact your family to explain the EI system and arrange an evaluation and assessment to determine if your child is eligible for EI services — all within the 45-day federal timeline from the date of referral [21].

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Services Provided Through AEIS

Once your child is found eligible, an Individualized Family Service Plan (IFSP) is created. The IFSP is a written plan that outlines your family's goals for your child and describes all services your child will receive [22]. It is developed with you — parents play a central role in deciding what goals matter most.

Available Services (as determined by your child's IFSP) [23]:
  1. Assistive Technology
  2. Audiology
  3. Family Training, Counseling & Home Visits
  4. Health Services
  5. Medical Services (for diagnostic purposes)
  6. Nursing
  7. Nutrition
  8. Occupational Therapy
  9. Physical Therapy
  10. Psychological Services
  11. Service Coordination
  12. Signed Language and Cued Language Services
  13. Social Work
  14. Special Instruction (developmental specialist visits)
  15. Speech-Language Pathology
  16. Transportation and Related Costs
  17. Vision Services
  18. Interpretation Services (when needed) [24]

All services are delivered in your child's natural environment — typically your home, daycare, playground, or wherever your family spends time [25]. All early intervention services must begin within 30 days of parents signing the IFSP [26].

> There is no cost to families for EI services. AEIS is funded through the U.S. Department of Education and Alabama's Education Trust Fund [27].

How Services Are Delivered

AEIS uses a Routines-Based Model (RBM) — meaning providers work with you during everyday family activities (mealtime, bath time, play) to help your child learn within natural moments of the day, rather than setting up separate "clinic-style" sessions [28]. The focus is on building your skills so you can support your child every day, not just during provider visits.

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Special Support for Children with Autism

If your child has a confirmed diagnosis of autism or shows characteristics of autism, AEIS providers follow five evidence-based practices adopted in September 2020 as AEIS best practices for children under 3 [29]. These are based on Naturalistic Developmental Behavioral Interventions (NDBI) — strategies implemented in natural settings that involve your child's caregiver as an active partner [30]. If your child has autism characteristics, the IFSP may also include a Social Communication service component [31].

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Transition: What Happens at Age 3?

AEIS services end when your child turns 3. Transitioning out of EI is one of the most important events in your child's early years [32]. Planning should begin early:

  • At 27 months: A written transition plan is added to the IFSP [33].
  • Before 33 months: A Transition Planning Meeting is held with your local school system (LEA) to explore eligibility for preschool special education services under IDEA Part B [34].
  • At age 3: Your child may be referred to your local school system for evaluation for preschool special education services. Eligibility standards for Part B are different from Part C [35].

You have the right to opt out of having your child's information sent to the local school system — ask your Service Coordinator about the Opt-Out Form [36].

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Help Me Grow Alabama — A Connected Resource

Help Me Grow (HMG) Alabama is a free information and referral line that connects families of children birth to age 8 to health and developmental resources in their community [37]. It is a program of the Alabama Partnership for Children and serves all 67 Alabama counties [38].

Call or enroll: 1-833-939-0336 | HelpMeGrowAlabama.org | Email: referrals@apcteam.org

HMG can:

  • Connect you to Early Intervention and other community services [39]
  • Provide free developmental screenings (Ages and Stages Questionnaire / ASQ-3) [40]
  • Assign a Care Coordinator to answer questions and follow up to ensure your family gets connected [41]
  • Host Books, Balls & Blocks — free community events offering developmental screenings for children birth to 5 [42]

HMG uses developmental screening tools in both English and Spanish [43]. Services in Spanish are available [44].

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Key Contacts at a Glance

| Resource | Contact | |---|---| | AEIS Child Find (EI Referral) | 1-800-543-3098 (Voice/TDD) | | EI Referral — En Español | 1-866-450-2838 | | EI Referral — Online | NeverTooEarlyAL.org | | EI Referral — Email | REHAB--Childfind@rehab.alabama.gov | | EI Referral — Fax | (334) 293-7393 | | ADRS State Office | 602 S. Lawrence St., Montgomery, AL 36104 | | ADRS Main Phone | (334) 293-7500 | | Help Me Grow Alabama | 1-833-939-0336 | | HMG Website | HelpMeGrowAlabama.org | | HMG Email | referrals@apcteam.org |

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Sources

  1. Alabama Department of Rehabilitation Services — Early Intervention System. https://www.rehab.alabama.gov/services/ei
  2. AEIS Handbook (2025 Edition). https://rehab.state.al.us/documents/ei/for_service_coordinators/AEIS%20Handbook%20(2025%2011-01%20Edition).pdf
  3. AEIS Brochure — Never Too Early (rev. 2023). https://www.rehab.alabama.gov/Documents/ADRSToday/AEIS%20Brochure%20Never%20Too%20Early%20-%20English%20(rev2023).pdf
  4. ADRS EI — Eligible Family's Guide to the EI System (2023). https://rehab.alabama.gov/documents/ei/for_families/Eligible%20Family%27s%20Guide%20to%20the%20EI%20System%202023.pdf
  5. ADRS — A Vital Message About Alabama's EI System. https://rehab.alabama.gov/documents/ei/for_service_coordinators/Vital%20Message%20(ENGLISH).pdf
  6. ADRS Child Find Procedures. https://www.rehab.alabama.gov/documents/ei/policies_and_procedures/Child%20Find%20Procedures.pdf
  7. AEIS Handbook (Feb. 2026 Edition). https://www.rehab.alabama.gov/documents/ei/for_service_coordinators/AEIS%20Handbook%202-15-26%20Edition.pdf
  8. ADRS — Child Find Referral Form and Info Sheet. https://www.rehab.alabama.gov/documents/ei/other/AEIS%20Child%20Find%20Referral%20Form%20and%20Info.pdf
  9. ADRS — Early Intervention Services Policy (rev. 2020). https://www.rehab.alabama.gov/documents/ei/policies_and_procedures/Early%20Intervention%20Services%20(Rev%2009-2020).pdf
  10. Alabama Public Health — Child Find Overview. https://www.alabamapublichealth.gov/hcca/assets/aeis_childfind-overview.pdf
  11. ADRS — EI Vendor Application (rev. 2020). https://www.rehab.alabama.gov/documents/ei/other/EI%20Vendor%20application-revised-10-2020.pdf
  12. ADRS — Transition FAQ (rev. 2023). https://www.rehab.alabama.gov/documents/ei/for_service_coordinators/Transition%20FAQ%20(revised-9-2023).pdf
  13. Help Me Grow Alabama — Alabama Partnership for Children. https://alabamapartnershipforchildren.org/our-work/help-me-grow/
  14. Help Me Grow Alabama — Strengthening Families. https://helpmegrowalabama.org/help-me-grow-and-strengthening-families/
  15. Alabama Chapter — American Academy of Pediatrics (Help Me Grow). https://www.alaap.org/help-me-grow-new
  16. National Center for Children in Poverty — Alabama Profile. https://www.nccp.org/alabama/

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