Therapist Forms
DO NOT DELETE
This is used for coding purposes, please leave this one here and do not use.
Nassau County EI Forms
Suffolk County EI Forms
Nassau and Suffolk Preschool Forms
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
NYCEI Forms
NYC EIP Session Note Version 1
NYC EIP Session Note Version 2
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
Converting ICD-9 Codes to ICD-10 Codes
Other
DO NOT DELETE
This is used for coding purposes, please leave this one here and do not use.
New York State Medicaid Enrollment
State Central Register Clearance Forms
Corporate Medicaid Compliance
Free Professional Development Online Trainings
New Therapist Forms
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