(Insert Early On Coordinator's Name) Choose name
from list
(Street Address)
(City/State/Zip Code)
Dear
(Insert Early On Coordinator's Name):
I would like to refer my child, (child's name), to the Early On
Program. My child is (age of child) and appears to have problems in
his/her development. I understand that I will be contacted by a service
coordinator who will explain the program to me and can help me choose an
evaluator.
The best time to reach me is on (insert days and times).
Sincerely,
(Insert Name)
(Street Address)
(City/State/Zip Code)
(County)
(Area Code/Phone #)
You can also
refer a child by calling 1-800-Early On or by filling out our
online form.
Vanessa Winborne
Acting State Coordinator
Office of Special Education & Early Intervention Services
608 West Allegan Street
P.O. Box 30008
Lansing, MI 48909
Dear Ms. Winborne:
I would like to request an impartial hearing for my child, (child's name),
regarding early intervention services. I am having a problem with (state
the problem).
The best time to reach me to arrange for a reasonably convenient time,
place, and date for the hearing is on (insert days and times).
Sincerely,
(Insert Name)
(Street Address)
(City/State/Zip Code)
(County)
(Area Code/Phone #)
Jacquelyn J. Thompson, Ph.D.
Director
Office of Special Education & Early Intervention Services
608 West Allegan Street
P.O. Box 30008
Lansing, MI 48909
Dear Ms. Thompson:
I would like to file a complaint because I believe that (name and address
of person/agency) is/are not performing their work as the law requires. I
would like the Department to investigate the following actions: (statement
of charges)
I understand that my complaint will be investigated within 60 days and
that I may be interviewed and will receive a copy of the final report.
The best time to reach me is on (insert days and times).
Sincerely,
(Insert Name)
(Street Address)
(City/State/Zip Code)
(County)
(Area Code/Phone #)
Vanessa Winborne
Acting State Coordinator
Office of Special Education & Early Intervention Services
608 West Allegan Street
P.O. Box 30008
Lansing, MI 48909
Dear Ms. Winborne:
I would like to request mediation. I am concerned about the early
intervention services that my child, (insert child's name) is receiving or
should be receiving.
I hope you will agree to this request. If so, I understand that someone
will contact me to make arrangements for mediation. The best time to reach
me is on (insert days and times).
Sincerely,
(Insert Name)
(Street Address)
(City/State/Zip Code)
(County)
(Area Code/Phone #)
After assessing the risks and considering the benefits of the vaccine(s)
listed below, I, (insert your name) (relationship to the child) of (Insert
child's name) do hereby assert my right not to vaccinate my child
(Insert child's name) with the following vaccine(s):
r
Diphtheria
r Small Pox
r Measles
r Tetanus
r Mumps
r
Pertussis
r Rubella
r Polio
r Haemophilus
influenzae type b
r Hepatitis B
Pursuant to my right to refuse vaccination(s) on grounds of "other
objection to Immunization" and pursuant to the statute *MCLA
§ 333.9215(2) I am providing a copy of this statement to the child's
school administrator or other party requiring said immunization(s).
*MCLA § 333.9215 "EXEMPTIONS" (1) A child is exempt from the requirements of this part as to a
specific immunization for any period of time as to which a physician
certifies that a specific immunization is or may be detrimental to the
child's health and is not appropriate;
(2) A child is exempt from this part if a parent, guardian or person in
loco parentis of a child presents a written statement to the administrator
of the child's school or operator of the group program to the effect that
the requirements of this part cannot be met because of RELIGIOUS
CONVICTIONS OR OTHER OBJECTIONS TO IMMUNIZATIONS.
How to
Say "Thank You" to Someone Special Who Works With a Child
(Insert date)
(Insert Person's Name)
(Insert Person's
Professional Title)
(Insert Person's
Workplace Name)
(Workplace Street Address)
(City/State/Zip Code)
Dear (Insert Person's Name):
I have noticed
that you have continuously gone out of your way to show care, compassion
and concern for (Insert Child's Name) during (class, therapy, playgroup).
Because of people like you I believe that (Insert Child's Name) will
continue to blossom.
(Expand on
particular situation here.)
Thank you for
all that you have done - - it has made a positive difference in our lives.
Sincerely,
(Insert Name)
(Street Address)
(City/State/Zip Code)
(County)
(Area Code/Phone #)
