How to enroll a child

A completed enrollment packet including a medical assessment from the child’s pediatrician is required in order to place a child in a Bell Center program. To download the enrollment packet, click on the links below.  Please note that the Medical Assessment portion of the application must be completed by your pediatrician. 

For questions concerning enrollment, contact the Program Director, Betty Bell, at (205) 870-0081.

 

Enrollment Application

General Information

Photo Release Evaluation

Full Release and Waiver of Liability

Medical Release

Medical Authorization Form

Medical Assessment

 

 

Complete all pages and return to:
The Bell Center for Early Intervention Programs
1700 29th Court South
Birmingham, AL 35209
Attn: Betty Bell