EARLY INTERVENTION

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Information Regarding Resuming In-Home Services
​DOH Health Screening Assessment

• • Nassau County
  • Suffolk County
• Resuming in-person services
  • Nassau County
  • Suffolk County

Attestation: Must be completed prior to resuming in home visits

• For Providers
• For Parents/Guardians

​ Report Templates & Instructions
​CPT Codes
​Late Services Form
​Ongoing Service Coordinator Progress Report
​Social Work Progress Report
​Prescription Template
​3 and 6 Month EI Progress Report - Suffolk
​Ethics Policy Provider and Family Agreement for Related Services
​​Notification of Move - Suffolk

 Billing & Log Note Templates
​6 Month EI Progress Report - Nassau
​EI Session Note Instructions
​EI Session Note - Nassau
EI Session Note- Suffolk
​Notification of Extended Nondelivery of Services- Suffolk
Notification of Extended Nondelivery of Services- Nassau
​Consent for Alternate Signature - Suffolk

​Administrative & Information Documents​
ABA Diagnostic 2019
​ABA Test Schedule 2020
​Parent Guide ABA Provider Competency Program 2019
​ATD Guidance
​IFSP Form
IFSP Sign Off Page
​The Role of Social Work
​Transition Service Coordination ToolKit
​Authorization for Alternate Signature - Suffolk

Training Resources

Early Intervention Therapist & Teacher Online Cooperative