Subject: Revised First Steps Parental Consent for Use of Private Insurance
Source: Amanda Wogan, Supervisor, Compliance

Intended Audience: SPOEs, Service Coordinators

Date: April 26, 2006

The following First Steps form Information for Parents Regarding Use of Private Insurance has been revised to include a statement and signature line for parents/guardians who do not have private insurance. This form is available on the First Steps web site at http://dese.mo.gov/divspeced/FirstSteps/fsforms.html under the heading Insurance and is available for immediate use.