This is used for coding purposes, please leave this one here and do not use.
This is used for coding purposes, please leave this one here and do not use.
Medicaid Parental Consent Form
Nassau Prescription for Evaluation 2014-2015
Nassau Prescription for Services 2014-2015
Nassau Annual Progress Report - Guidance Help RS-3-2013
Nassau Annual Progress Report Related Service
Nassau Quarterly Progress Report RS - Guidance Instructions 3-2013
Nassau Quarterly Progress Report - Related Services 3-3013
Nassau Referral for Psych Eval or Rec for Psych Counsel 2014-2015
Nassau Referral for Speech Eval or Rec for Services 2014-2015
NYC EIP Session Note Version 1 (updated July 2025)
NYC EIP Session Note Version 2 (updated July 2025)
NYCEI Break In Service Form *New* (10.15.19)
NYC EIP Provider Progress Note
NYC Justification Form for Change in Services
NYC Request for Additional Evaluation
Parental Consent for Evaluation Form
Team Meeting Results / Attendance Sheet
NYC Assistive Technology Medical Necessity Justification Form
*NEW* Session Signature Log (In-Person and Telehealth) - updated Aug 2024
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