The regional center may ask you for the information below. If you gather this information ahead of time, you will be ready when you apply.
About You
- Name
- Address
- Phone Number
- Parent’s or Guardian’s Name
- Disabilities
Your Medical Records
Bring copies of your health benefits cards like private health insurance coverage, health service plans, Medi-Cal, Medicare, and TRICARE cards (for military families).
Find information on each doctor, psychologist, or other health care provider who has cared for you:
- Doctor’s Name
- Phone Number
- Address
Hospitals and Clinics
List each hospital or clinic where you got care, including where you were born:
- Name of Hospital or Clinic
- Phone Number
- Address
Medications
Many consumers take lots of medication.
- List all medications you have taken
- List medications you take now
Early Start/Head Start Records?
Did you get services as a baby or toddler? If not, can you get baby books or videos that show your early years?
School Records
List each school you attended
- Name of School
- Type of school (elementary, middle, high)
- Grades you attended
- Phone Number
- Address