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Early Supports & Services

Early Supports & Services Family Centered Early Supports & Services (FCESS) provide services to children who are experiencing developmental delays from birth to three years of age and their families. Our services include a developmental evaluation, therapeutic interventions, guidance, instruction, referral to community resources and emotional support.

ESS professionals focus on your child’s development as well as family strengths and needs. ESS will work with you to explore services and resources that may be helpful to your child and family.

Early Supports & Services Please call us at (603)459-2775 or email us at for more information. If you wish to begin the process to determine if your child is eligible for ESS, we will arrange for an initial visit by one of the ESS Intake Coordinators to explain the program, gather relevant information for the ESS team, and assist you with signing the necessary releases and consents. The ESS team will then contact you to schedule a developmental evaluation which will provide you a wealth of information regarding your child’s development as well as determine eligibility for further ESS services.

The evaluation looks a lot like play and is usually very enjoyable for both the child and family. The ESS team may include professionals in the fields of physical therapy, occupational therapy, speech therapy, early childhood education, behavioral intervention, social work and other consultative services. ESS staff will work with families to support children’s progression through Developmental Milestones. Throughout this process, ESS staff respects each family’s values, culture, needs and priorities. If your child is found eligible for services at the evaluation, ESS services are then provided in the natural settings of family homes, and in some cases, childcare settings.

Early Supports & Services Is My Child Eligible?
To be eligible for Family-Centered Early Supports & Services in New Hampshire, children must meet one of the three specific eligibility categories: Established Condition, Developmental Delay of 33% (in physical, cognitive, communication, social/emotional or adaptive development), or At Risk for Substantial Developmental Delay (in five or more documented conditions or circumstances).

Can I afford this service for my child?
ESS is funded by state and federal funds, private and third party insurance, as well as other community resources. No child will be declined services due to a family’s lack of insurance.

Early Supports & Services Are you in our Area?
Towns serviced by Region 6 include; Amherst, Brookline, Hollis, Hudson, Litchfield, Mason, Merrimack, Milford, Mont Vernon, Nashua and Wilton. For additional locations, please see our list of other towns and cities by region.