Make A Referral

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Who is eligible?

A person receiving county board services must be a resident of Licking County who has been diagnosed with a developmental disability or delay before the age of 22.

How do I make a referral?

Birth to age 3

Anyone can make a referral to Licking County Central Coordination. You will need the child’s name, date of birth, address, parent’s name and contact information. To make a referral, please call 740-349-6588. You can also email or fax the information to Barb Wheeler (Fax: 740-349-1426).

Age 3 and older

If you would like to make a referral, please contact Licking County Board of DD Admissions Coordinator Aleesa Womer at 740-349-1420 or 1-800-325-2848.

 

 

What are the qualifications?

Children birth to age 3

Children who have at least one developmental delay or an established risk for a developmental delay are eligible for our Early Childhood services.

Youth age 3 to 24

Children age 3 to 6 who have at least two developmental delays or an established risk are eligible to receive services provided by, or paid for, by our board.

Eligibility for children between the ages of 6 to 15 occurs when there is a developmental disability and substantial functional limitations in at least three of the following areas of major life activity (self-care; receptive and expressive language; learning; mobility; self-direction; and capacity for independent living).

Youth age 16 and older are eligible when there is a developmental disability and they have substantial functional limitations in at least three areas of major life activity (the capacity for economic self-sufficiency; self-care; receptive and expressive language; learning; mobility; self-direction and capacity for independent living).

Adults age 25 and older

Adults age 25 and older who have a developmental disability and substantial functional limitations in at least three of the following areas of major life activity (the capacity for economic self-sufficiency; self-care; receptive and expressive language; learning; mobility; self-direction and capacity for independent living) are eligible to receive board services or support.

It is important to note that developmental disabilities must be assessed by a licensed psychologist and/or physician. Additionally, functional limitations are evaluated through completion of a level of care screening tool.

If you have any questions about eligibility for yourself or a loved one, please contact Aleesa Womer at 740-349-1420 or 1-800-325-2848.

What forms are needed?

Families can download the application for county board services by clicking here.

Families must also must submit a diagnosis verification form to verify the diagnosis of a developmental disability. This form can be found here.

How are services funded?

Services and supports provided by the Licking County Board of Developmental Disabilities are funded primarily by the Board’s two local tax levies.

 

Video credit: Ohio Department of Developmental Disabilities