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Provider Forms

CPSE Preschool Forms
 Report Templates & Instructions
Suffolk IEP Direct Progress Report Instructions 
Suffolk Quarterly Progress Report
CPSE Portal
How to Add Prescriptions to CPSE Portal
Notification, Request & Consent Forms
Consent for Alternate Signature - Suffolk
Notification of Extended Nondelivery of Services- Suffolk
Notification of Move - Suffolk
Regression Statement - Suffolk
Request for CPSE Meeting - Suffolk
 Billing & Log Note Templates
New Billing Template
Sample Billing Template - Filled
CPSE Signature Log Delivery of Services
CSE School Age Forms
 Report Templates & Instructions
CPSE Annual Review Report Template
IEP Progress Report 
Parent Family Training Report Template
Parent Training Report
Special Ed Report Template
IEP Direct Progress Report Instructions
 Billing & Log Note Templates
School District Session Note - Blank
Billing Template
Billing Template - Filled Sample
School Age Invoice
School Age Log Note
Monthly Related Service Attendance Log - Blank
Things to Know
CPT Codes
Ethics Policy Provider and Family Agreement for Related Services
Progress Marks & Review Timeline
Things to Know for the Annual Review
Early Intervention Forms
 Report Templates & Instructions
Late Services Form
Ongoing Service Coordinator Progress Report
Social Work Progress Report
Prescription Template
3 and 6 Month EI Progress Report - Suffolk
6 Month EI Progress Report - Nassau
 Billing & Log Note Templates
EI Session Note Instructions
EI Session Note- Suffolk
EI Session Note - Nassau
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
IFSP Review
Authorization for Alternate Signature - Suffolk
Transition Service Coordination ToolKit
The Role of Social Work
Training Resources
https://www.nyseipopdc.org/academics
Early Intervention Therapist & Teacher Online Cooperative
Provider How To Documents & Instructions
Health & Safety
COVID-19 Letter
Choking - Mayo Clinic
Community Health & Safety Checklist - Indoor
Community Health & Safety Checklist - Outdoor
Hand Washing Procedure
Heimlich Maneuver - Child
Heimlich Maneuver - Infant
Heimlich Maneuver - Adult
In Case of Emergency - Nassau
In Case of Emergency - Suffolk
Infection Control
Report of Suspected Child Abuse
Sexual Harassment Prevention Model Policy
Sexual Harassment Prevention Poster
Professional Code of Ethics - Suffolk

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Fax
631-423-7700
631-423-7706

Email

geri@obrienspeechandlearning.com