Language
English (US)
Spanish (Latin America)
Should We Apply To IHSS?
My child has behaviors that are dangerous and unpredictable.
Yes
No
My child has unusual behaviors or interests compared to others that are the same age.
Yes
No
My child will wander off or leave without notifying anyone.
Yes
No
My child has regional center services.
Yes
No
My child has an IEP.
Yes
No
We have already tried IHSS but were unsuccessful.
Yes
No
I am unable to work a consistent schedule due to my childs needs.
Yes
No
If you answered yes to any of these questions, let us reach out with a more in-depth questionnaire for families.
Format: (000) 000-0000.
Name
First Name
Last Name
Email
example@example.com
Select Date and Time
Submit
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