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section 632(4)(F)(viii) and (4)(F)(x) of the Act, which lists these specialists as qualified personnel who provide early intervention services. Any of the personnel listed under this section could perform diagnostic services as part of the ongoing assessment of an infant or toddler or provide direct services to an infant or toddler with a

disability and these services would qualify as early

intervention services.

Concerning the comment about a lead agency’s payment

and referral responsibility, the lead agency would be responsible for referring families to ophthalmologists or optometrists and also would be responsible for paying for

diagnostic services, as required under §303.13(b)(5).

We did not include the term nutritionist in the

examples of qualified personnel in §303.13(c) because this

term was not included in section 632(4)(F)(viii) and (4)(F) (x) of the Act. However, nothing precludes lead agencies from utilizing services from a nutritionist if a nutritionist, instead of a registered dietician, can provide the nutrition or other services identified in the

child’s IFSP.

Changes: None.

Comment: A few commenters recommended listing “teachers of

children with hearing impairments” and “teachers of