What is EIIS? EIIS Video EIIS Service Delivery System What is ASD?		Service Provider Parent Resource Package Training Opportunities Regional Evaluation Report
Service Provider Consent Form (pdf) | Process for Referral | Individual Family Service Plan | Sensory Integration Forms Child Case History Form (pdf) | Transition Protocol (pdf) | Parent Resource Package Process for Referral (to the EIIS Autism Teams) Click to Download Individual Sections Process for Referral & Referral Form and Directions for Administration M-CHAT Screening Process: Making Observations Individual Family Service Plan (IFSP) Click to Download Individual Sections IFSP Amendment Sheet Document A: Areas of Strengths and Needs as Identified by the Family Document B: Areas of Strengths and Needs as Identified by the EIIS Autism Team IFSP Explanations IFSP Template Sensory Integration Forms Click to Download Individual Sections EI Occupational Therapy Checklist for Infants and Toddlers: 0-2.11 years Pre-School Occupational Therapy Checklist: Ages 3-4.11 Years School-Age Occupational Therapy Checklist: Ages 5-12 Years Adult/Adolescent Occupational Therapy Checklist Pre-School Classroom Accommodation Checklist Classroom Accommodation Checklist Fine Motor Skills Motor planning and Organizational Strategies

Christina Schulze-Allen - EIIS Regional Coordinator Western Regional CAYAC, P.O. Box 520, Middleton Nova Scotia, B0S 1P0 Email: csa.cyiwg@ns.sympatico.ca	Phone: (902) 825-5377   Fax: (902) 825-5379
Supported by Kings Regional Rehabilitation Centre Technical Resource Centre