Provider Forms - School Age - O'Brien Speech, Language and Learning, PLLC

O'Brien Speech, Language and Learning, PLLC

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SCHOOL AGE

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

Report Templates & Instructions
CPT Codes
IEP Progress Report
Parent Family Training Report Template
Special Ed Report Template
IEP Direct Progress Report Instructions

Billing & Log Note Templates
School District Session Note - Blank
Billing Template
School Age Invoice
Monthly Related Service Attendance Log - South Huntington

Things to Know

Progress Marks & Review Timeline

Things to Know for the Annual Review

Medicaid

Medicaid Eligibility Form

Prescription/ Recommendation for Preschool Services

Parental Consent Form - English

Parental Consent Form - Spanish

Training Resources

https://www.nyseipopdc.org/academics

Early Intervention Therapist & Teacher Online Cooperative