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September 17, 2016

To Make A Referral

During these formative years, children experience rapid brain development and acquire essential skills that influence their cognitive, emotional, and social capabilities. High-quality early childhood education and care can positively impact their development, helping to close achievement gaps and provide a strong start петропавловская крепость в Санкт-Петербурге. By supporting families and addressing their needs, these services help create a nurturing and stimulating environment that promotes optimal growth and learning for young children.

Ensuring that children receive appropriate healthcare, nutrition, and early learning opportunities is critical. Collaboration among parents, educators, healthcare providers, and community organizations plays a vital role in achieving these goals. When families are engaged and supported, children are more likely to thrive and reach their full potential.

If you are referring a child to Northwest Ohio Help Me Grow, please fill out the form below:

Parent/Guardian/Mother's Name
Parent/Guardian/Father's Name
Address
City
Ohio Zip
Phone (home)
Phone (cell)
Child's Name
Sex
Male          Female
DOB/Due Date
County
Reason for referral and other pertinent medical information
Parent's First Child
Yes          No
Eligible for WIC
Yes          No
Eligible for Medicaid
Yes          No
Primary Language
Submit
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1210 North Ottokee Street | Wauseon, OH 43567 | 888.648.8732 | 419.337.4579