Eligibility & Intake

Learn about our intake and eligibility process for any age. Find out if you or a loved one are eligible for services through Summit DD.

Determining Eligibility

Who can make a referral?

What is the criteria for eligibility?

Eligibility for services is based on a number of factors and evaluations that are specific to a person’s age.

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Make an Early Intervention Referral

Determine Eligibility for Early Intervention (birth – age 2)

For Children age 0-2, please fill out the Help Me Grow Referral for Services form. While Summit DD may provide Early Intervention services, referrals for Early Intervention are made through our partners at the Ohio Department of Children and Youth’s Help Me Grow Early Intervention Program.

  • Learn more about Summit DD’s Early Intervention Services.
  • Children must have their eligibility re-determined at age 3 to receive services.
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Make a Referral for Services (ages 3+)



Download Intake Application ages 3+

Prefer to download the form and email it instead? Download the Intake Application PDF form here. NOTE: Please save the PDF to your computer before filling out the form. Once completed, please attach and email form to intake@summitdd.org.)