This document discusses the importance of follow-up after identification and assessment of individuals with disabilities. Follow-up is done to assess family status, provide quality services, monitor progress, provide counseling and support, conduct more trainings at home, implement preventive measures, create documentation, and build community partnerships and awareness. Follow-up is conducted through referrals between hospitals and communities, parent-to-parent information sharing, and detection by youth assistants. The roles and responsibilities of hospitals, parents, CBR programs, and forming a committed team are outlined.