Provider Forms

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CPSE Preschool Forms

 Report Templates & Instructions

suffolk_iep_direct_7_progress_report_instructions_2020.doc
File Size:	29 kb
File Type:	doc

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suffolk_rs_quarterly_progress_report_2019.doc
File Size:	49 kb
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CPSE Portal

how_to_add_prescriptions_in_cpse_portal.docx
File Size:	8710 kb
File Type:	docx

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Notification, Request & Consent Forms

suffolk_consent_for_alternate_verification_signature.doc
File Size:	25 kb
File Type:	doc

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suffolk_request_for_cpse_meeting.doc
File Size:	48 kb
File Type:	doc

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suffolk_regression_statement_2019.doc
File Size:	44 kb
File Type:	doc

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suffolk_notification_of_move.doc
File Size:	32 kb
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suffolk_notification_of_extended_nondelivery_of_services_preschool_2019.doc
File Size:	49 kb
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 Billing & Log Note Templates

new_billing_template.xlsx
File Size:	21 kb
File Type:	xlsx

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filled_sample_billing_template.xlsx
File Size:	12 kb
File Type:	xlsx

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cpse_signature_log_blank_delivery_of_services__1_.pdf
File Size:	148 kb
File Type:	pdf

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CSE School Age Forms

 Report Templates & Instructions

suffolk_iep_direct_7_progress_report_instructions_2019.doc
File Size:	29 kb
File Type:	doc

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iep_progress_report.docx
File Size:	28 kb
File Type:	docx

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parent_family_training_school_age_report_template2019.doc
File Size:	37 kb
File Type:	doc

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special_ed_school_age_report_template_2019.doc
File Size:	38 kb
File Type:	doc

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parent_training_report.docx
File Size:	21 kb
File Type:	docx

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cpse_annual_review_report_template.pdf
File Size:	48 kb
File Type:	pdf

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 Billing & Log Note Templates

school_age_invoice.doc
File Size:	54 kb
File Type:	doc

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blank_school_district_session_notes.docx
File Size:	62 kb
File Type:	docx

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new_billing_template.xlsx
File Size:	21 kb
File Type:	xlsx

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filled_sample_billing_template.xlsx
File Size:	12 kb
File Type:	xlsx

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school_age_log_coldspringharbor.doc
File Size:	40 kb
File Type:	doc

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school_age_log_deerpark.doc
File Size:	40 kb
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school_age_log_elwood.doc
File Size:	40 kb
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school_age_log_halfhollowhills.doc
File Size:	40 kb
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school_age_log_harborfields.doc
File Size:	40 kb
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school_age_log_huntington.doc
File Size:	40 kb
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school_age_log_northport.doc
File Size:	40 kb
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school_age_log_smithtown.doc
File Size:	40 kb
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school_age_log_southhuntington.doc
File Size:	40 kb
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school_age_log_threevillage.doc
File Size:	40 kb
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school_age_log_wyandanch.doc
File Size:	40 kb
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shuntingtonufsd_monthly_related_service_attendance_log_blank_signature__1_.pdf
File Size:	1348 kb
File Type:	pdf

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Things to Know

things_to_know_for_the_annual_review_revised.docx
File Size:	40 kb
File Type:	docx

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suffolk_ethics_policy_provider_&_family_agreement_for_related_services_only.doc
File Size:	33 kb
File Type:	doc

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things_to_know_for_the_annual_review_revised.docx
File Size:	40 kb
File Type:	docx

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progress_marks_and_review_timeline_2019.doc
File Size:	95 kb
File Type:	doc

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Early Intervention Forms

 Report Templates & Instructions

3_and_6_month_ei_progress_report_template_.docx
File Size:	25 kb
File Type:	docx

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 Billing & Log Note Templates

suffolk_ei_session_notes_-_instructions.doc
File Size:	26 kb
File Type:	doc

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ei_session_note_template_1_.docx
File Size:	27 kb
File Type:	docx

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Administrative & Information Documents

suffolk_authorization_for_alternate_signature.doc
File Size:	24 kb
File Type:	doc

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ei_parent_packet.pdf
File Size:	2311 kb
File Type:	pdf

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suffolk_ifsp_review.pdf
File Size:	43 kb
File Type:	pdf

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ifsp_form.pdf
File Size:	692 kb
File Type:	pdf

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transition_service_coordination_tool_kit.pdf
File Size:	808 kb
File Type:	pdf

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2019_aba_test_schedule_2019__1_.pdf
File Size:	10 kb
File Type:	pdf

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Training Resources

https://www.nyseipopdc.org/academics

Provider How To Documents & Instructions

how_to_create_a_digital_signature_obsll.pdf
File Size:	154 kb
File Type:	pdf

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creating_a_custom_email_signature_in_gmail_basic_obsll.pdf
File Size:	282 kb
File Type:	pdf

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Health & Safety

choking_-_mayo_clinic.doc
File Size:	36 kb
File Type:	doc

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hand_washing_procedure.doc
File Size:	22 kb
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heimlich_maneuver.doc
File Size:	383 kb
File Type:	doc

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community_health_and_safety_checklist_-_indoor.doc
File Size:	26 kb
File Type:	doc

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heimlich_maneuver_on_a_child.doc
File Size:	29 kb
File Type:	doc

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heimlich_maneuver_on_an_infant.doc
File Size:	30 kb
File Type:	doc

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community_health_and_safety_checklist_-_outdoor.doc
File Size:	27 kb
File Type:	doc

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in_case_of_emergency_call_-_nassau.doc
File Size:	23 kb
File Type:	doc

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in_case_of_emergency_call_-_suffolk.doc
File Size:	23 kb
File Type:	doc

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infection_control.doc
File Size:	27 kb
File Type:	doc

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report_of_suspected_child_abuse.pdf
File Size:	32 kb
File Type:	pdf

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suffolk_professional_code_of_ethics_-_2014.pdf
File Size:	377 kb
File Type:	pdf

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sexualharassmentpreventionmodelpolicy.docx
File Size:	55 kb
File Type:	docx

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sexualharassmentpreventionposter_english_handfill.pdf
File Size:	107 kb
File Type:	pdf

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Medicaid

medicaid_eligibility_form.doc
File Size:	30 kb
File Type:	doc

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sc_parental_consent_form_-_spanish.doc
File Size:	209 kb
File Type:	doc

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sc_parental_consent_form_2014.doc
File Size:	197 kb
File Type:	doc

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prescr._recommendation_for_preschool_services.doc
File Size:	240 kb
File Type:	doc

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Policy & Procedure Manuals

nysed_part_200.pdf
File Size:	678 kb
File Type:	pdf

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nysed_part_200.pdf
File Size:	678 kb
File Type:	pdf

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nysed_part_200.pdf
File Size:	678 kb
File Type:	pdf

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suffolk_related_service_policy_manual_2014.pdf
File Size:	744 kb
File Type:	pdf

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