The IFSP Form

The Nebraska Department of Education has prepared a 14 page form (called EI-1) to guide the preparation and documentation of the IFSP. This form documents the efforts of families and professionals to identify and meet the developmental needs of infants and toddlers with disabilities and their families. It is a written plan for the provision of early intervention services. Click on each box below for an explanation of how the page should be used.

Complete 14-page set of forms (EI-1) in PDF format.
(Spanish) Complete 14-page set of forms(EI-1) in PDF format.
(Vietnamese) Complete 14-page set of forms (EI-1) in PDF format.

View Form	View Instructions	Description
		Early Intervention Program
		Concerns and Priorities Instructions
		Child and Family's Strengths
		Child's Present Levels of Development
		Child's Present Levels of Development (Cont'd)
		Child's Present Levels of Development (Cont'd)
		Goals and Outcomes
		Goals and Outcomes (Cont'd)
		Services
		Services (Cont'd)
		IFSP Transition Plan
		IFSP Transition Plan (Cont'd)
		Child/Family Team Signatures
		Parent Signature