State of New Mexico Department of Health logo
DOH Seal Developmental Disabilities Supports Division - Family Infant Toddler Program
FIT Program

Making a ReferralFor FamiliesFor Providers

Documents and ReportsInteragency Coordinating CouncilContact Us

For Providers...

Presentations that require Flash Player can be download here for free.

FIT Provider ListAdobe Document updated 2/2013
Quality Assurance and Monitoring
FIT-KIDS (Key Information Data System)
Forms
Note: Download time varies.

purpleblip Ages and Stages for Kids (ASK) Referral FormAdobe Document November 2012
purpleblip Billing Codes FY 2012Adobe Document
Purple blip Child Find Public Awareness Plan FY12 TemplateMS Word July 2011
Purple blip Child Transfer FormMS WordJune 2009
bullet DDSD FIT Monthly Invoice and Provider Regular Invoice FY12 MS Excel July 2011
DDSD Monthly Provider Invoice InstructionsAdobe Document July 2009
bullet DDSD Provider Agreement Utilization Spreadsheet template MS Excel July 2009
DDSD Subcontractor Form MS Word Document June 2011
Environmental Risk Assessment Tool - InstructionsAdobe Document July 2010

blip Environmental Risk Assessment Tool - Form in English MS Word Document July 2010

blip Environmental Risk Assessment Tool - Form in Spanish MS Word Document July 2010
bullet Evaluation Summary Form in EnglishMS Word Document July 2009

bullet Evaluation Summary Form in SpanishMS Word Document July 2009

bullet Evaluation Determination Sample Summary Form in EnglishAdobe Document January 2012
bullet Evaluation Determination Sample Summary Form in SpanishAdobe Document (pending)
bullet FIT Family Fact Sheet - Insurance - in EnglishAdobe Document August 2012

bullet FIT Family Fact Sheet - Insurance - in Spanish Adobe Document August 2012

bullet FIT Family Fact Sheet - Screening - in English Coming soon

bullet FIT Family Fact Sheet - Screening - in Spanish Coming soon

bullet FIT Freedom of Choice Form MS Word Nov 2011
bullet Individualized Family Service Plan (IFSP) Form

bullet IFSP - in EnglishAdobe Document August 2012
bullet IFSP - in SpanishAdobe Document August 2012

bullet IFSP TA DocumentAdobe Document August 2012

Insurance Worksheet - in EnglishAdobe Document August 2012

Insurance Worksheet - in Spanish Adobe Document August 2012

Notice of Child and Family Rights and Safeguards - in EnglishAdobe Document June 2008
Notice of Child and Family Rights and Safeguards - in SpanishAdobe Document June 2008
Prior Written Notice Form - in EnglishAdobe Document November 2012
Prior Written Notice Form - in SpanishAdobe Document November 2012
Prior Approval Form (Over 14 Hours)MS Word Document updated July 2011
Public and Private Insurance Form in English Adobe DocumentAugust 2012

blip Public and Private Insurance Form in Spanish Adobe DocumentAugust 2012
Public Awareness and Materials Order FormMS Word DocumentJune 2011
bullet Race - Ethnicity FormAdobe Document July 2009
bullet Staff Development Plan Form FY 12MS Word Document June 2011

bullet New Coordinators Checklist and GuideAdobe Document Jul 2011

bullet New Mexico Vision Screening Tool MS Word Document Oct 2011

Developmental Specialist Certification
Training

FIT Provider Handbook (Provider FAQs and Resources)Adobe Document
Early Childhood Outcomes (ECO)
Child Abuse Protection and Treatment Act (CAPTA)
Transition
FIT Program Changes
Respite
FIT Annual Meeting Documents

Other links and resources...(links)


Additional Links

left arrow to linkDDSD Services Overview  left arrow to link FIT Program Overview left arrow to link Frequently Asked Questions


department of health

left arrow to linkDDSD Home
left arrow to linkDDSD Regulations, Standards and Rules
left arrow to linkDDSD Regional Offices

left arrow to linkDDSD Training (ISP training and more)

left arrow to linkDDSD Request for Regional Office Intervention (RORI)
left arrow to linkDepartment of Health Home


FIT Program HIGHLIGHTED LINKS

left arrow to link Family Infant Toddler Brochure
left arrow to link How Your Baby Grows Brochure
left arrow to link How can I make a referral?
left arrow to link Where Can I find a Service Provider?


Most Requested Links

left arrow to link Developmental Specialist Certification

left arrow to link Family Training and Support
left arrow to link FIT Public Awareness Order Form

left arrow to link Rules

left arrow to link Resources
left arrow to link For Providers
left arrow to link FIT and SGF Program Standards
left arrow to link Family Infant Toddler Handbook
left arrow to link FIT Annual Meeting Documents
left arrow to link Individualized Family Service Plan (IFSP)
left arrow to link Family Rights
left arrow to link FIT - KIDS Database
left arrow to link Transition Network Resources


New Mexico Health and Social Service Resources

left arrow to linkResources for New Mexico