Get ready to apply
Nebraska Department of Health and Human Services
Early Development Network
What you get
Free developmental evaluation and help coordinating early-intervention services. Open now.
- Who starts it
- You
- How it’s sent
- Online, on their website
- Your time
- About 15 minutes
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Cancer alone may not satisfy disability, SSI, Medicaid, developmental, caregiver, or level-of-care requirements; individual authorization and capacity rules apply.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open their application ↗ Checked Aug 27, 2026What the form asks for
Online referral fieldsChild's First Name; Child's Last Name; Gender of Child; Child's Date of BirthWhat concerns do you have about the childParent's First and Last Name; Parent's Phone Number; Parent's Address; Parent's E-mailWho is filling this form out?; Referral Source; Name of Person Making Referral; Agency Name if Appropriate; Phone Number
After you send
Respond to the local planning region team when it contacts the family. If you have not heard back in two weeks, write and ask whether it arrived.