Requesting Early Intervention Records from AzEIP

The Family Educational Rights and Privacy Act (FERPA) is a federal law that gives parents the right to have access to their child’s early intervention records. Early Intervention records are not considered public records nor are they considered medical records. Early Intervention records are considered educational records and protected under FERPA. With very few exceptions, only the child’s parent(s) have the right to authorize release of information in their child’s early intervention records.

How to Request AzEIP Screen Prints

The Arizona Early Intervention Program (AzEIP) maintains the records we need in order to complete core governmental functions. AzEIP does not maintain child-level records within our office. This means we keep information that is reported to us by our service providing agencies in a database. When parents request early intervention records from AzEIP, we may be able to provide screen prints of the data entered in our database, but we do not have the child records where the data were originally documented.

Request Screen Prints

How to Request Early Intervention Records Directly from Your Service Providing Agency

Sometimes, families need to have their early intervention records sent directly to another person or agency. You may also sign a release to share your child’s early intervention records with another person or agency.

If you are looking for early intervention records for your child, such as home visit notes, evaluations, or Individualized Family Service Plan (IFSP) documents, you will need to request them from your service-providing agency. Only the child’s parents have the right to authorize release of information in their child’s early intervention records.

1. Make sure you know the name of the agency that provides (or provided services) for your child.

   1. If you do not know the name of your service-providing agency, submit a request for service-providing agency name or contact AzEIP for assistance at:

      [email protected]
      (602) 532-9960

   2. NOTE: If your service coordinator is from the Division of Developmental Disabilities (DDD), you do not need to request records from each agency individually. You can submit an electronic Authorization to Release Records or email DDD to make a records request from all service-providers agencies at once.

2. You can request records by completing an Electronic Authorization Form or by sending the consent form via email.

   Request records via an Electronic Authorization Form

   1. In the Early Intervention Service-Providing Agencies table, go to the Electronic Authorization Form column and click on your service-providing agency’s name.
   2. Complete all required fields in the Electronic Authorization Form that opens up, sign and submit it.

   Request records via email

   1. Download and complete the Consent to Share Early Intervention Records and Information form.
   2. Save the completed form on your computer.
   3. In the Early Intervention Service-Providing Agencies table, go to the Agency Email Address column and click on your service-providing agency’s email address to compose an email to that agency.
   4. Attach the completed consent form to the email and send it.

   Agencies that provide Early Intervention services

   Electronic Authorization Form	Agency Email Address
   Arizona Cooperative Therapies (ACT)	[email protected]
   Arizona Schools for the Deaf and Blind (ASDB)	[email protected]
   Dynamite Therapy LLC	[email protected] [email protected] [email protected]
   Essential Therapy Solutions dba A to Z Therapies	[email protected]
   Growing in Beauty	[email protected]
   Hummingbird Early Intervention Services	[email protected]
   Northland Rural Therapy Associates	[email protected]
   Northland Therapy Services	[email protected]
   RISE Early Intervention Services	[email protected]
   Root for Kids	[email protected] [email protected]
   Sunrise Therapy Services Inc	[email protected]