Head Start Disability Forms in empowOR

The Disability Plans/Referrals forms collect required disability information for the Head Start/Early Head Start program.

Household Intake Process

• Basic Info Collection – Enter basic information for each participant.
• Household Creation – Create a household record and enter household-level basic info.
• Supplemental Forms – Complete necessary forms in the Work Template (varies by funder/agency).
• Child Enrollment – Assign the child to the appropriate Head Start program and classroom.
• Activation of Health & Disability Forms – These forms become available only after enrollment.

Steps to Enter Disability Plans/Referrals

Accessing the Form

• Click on the Disability Plans/Referrals form in the Work Template.

Plan Disability Info

• Click the green plus to add a new disability plan.
• Required Fields:
  1. IEP/IFSP/504 Plan: Select the appropriate plan.
  2. Initial Service Date: Enter the date or provide a reason if blank.
  3. Enrollment: Required field.
• Adding Disabilities:
  1. Click ADD NEW → Select a disability from the list → SAVE.
• Recording Plan Meetings:
  1. Click ADD A NEW MEETING → Enter the date, meeting title, and meeting notes.

Plan Referrals

• Click the green plus to add a new referral.
• Required Fields:
  • Applies To: Select the child’s name.
  • All Dates: Enter required dates.
  • Referred To: Choose from Admin-managed options.
  • Select Eligible, IEP/IFSP/504 Plan, Disability, and Health Event (Admin-managed list).