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Teacher and Preschool Student

EI Provider Assistance For Ages 0-3 Years

Your child has been approved for services. That's great! Now you need a provider. Omni Childhood Center will do our best to assist you.  Fill in the form below and upload your child's IEP.

OMNI Childhood Center

EI Provider Assistance Form

Fill out the EI provider assistance form below to get started.

EI Provider Assistance Form 0-3 Years

Does your child attend a daycare or preschool?
Which services is your child mandated to receive?
Which mandated service has your child not been receiving?
Upload your child's IFSP

Thank you for submitting!

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