I / We have received a copy of the Annual Notification, “A Family Guide to Next Steps
When Your Child In Early Intervention Turns 3 – Families have a choice.”
I / We have been informed about the differences between the early intervention services
provided through an Individualized Family Service Plan (IFSP) under the Individuals with
Disabilities Education Act (IDEA) and the preschool special education services provided
through an Individualized Education Program (IEP) under IDEA.
I / We understand my / our child has a current IFSP and that my / our child has been
found eligible for preschool special education as a child with a disability under IDEA.
I / We have been informed of my / our right to choose between the IFSP Option to continue
receiving early intervention services through an IFSP or to initiate special education
preschool services through IEP.
I / We understand that if I / We choose for my / our child to receive services through an
IEP and terminate IFSP services, my / our child and family will no longer be eligible
through an IFSP.
I / We understand that if I / We choose for my / our child to receive services through an
IFSP, at any time I / We may terminate participation in early intervention services
through an IFSP and choose to initiate special education preschool services through an IEP
I / We understand that the local lead agency is required to continue to provide IFSP
services under the Extended IFSP Option until the date on which services through an IEP
are initiated. However if, I / We choose the IEP option but refuse to consent to the
special education and related services offered in the IEP developed by the IEP team, I /
We understand IFSP services will be terminated.
I / We understand that my / our consent to the continuation of IFSP services is voluntary
and that I / We may revoke consent at any time.