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EI Forms

Early Childhood Assessment Services Release (Spanish)

Family and Child Routine Chart (Spanish)

Medical History (Spanish)

Montgomery County Intermediate Unit Release (Spanish)

Montgomery County Medical Assistance Consent (Spanish)

Parent Consent to Screen (Spanish)

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  1. Montgomery County

Contact Us

  1. P.O. Box 311

  2. Norristown, PA 19404-0311

  3. Phone: 610-278-3000

  4. Hours 8:30 a.m.- 4:15 p.m.


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