Alta California Regional Center Intake Application
For Children 3 Years of Age and Over
Begin here by entering your Zip Code
ZIP Code:
Which of these eligible conditions do you feel applies to the applicant? Please check one or more.
Intellectual Disability
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Autism
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Cerebral Palsy
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Epilepsy
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Fifth Category
; disabling conditions found to be closely related to intellectual disability or requiring treatment similar to that required for individuals with intellectual disability
