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NYC Early Intervention Program Session Note 2015-2024 free printable template

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NYC Early Intervention Program Session Note Child s Name DOB // Sex Male Female EI Interventionist s Name Credentials National Provider ID Service Type Session Date // IFSP Service Location Date Note Written // Time From AM PM To AM PM ICD-10 code HCPCS Code if applicable 1st CPT Code 2nd CPT Code 3rd CPT Code 4th CPT Code Session cancelled - reason listed in 1. See Early Intervention Memorandum 2003-1. When a session is cancelled 1. Indicate that the session was cancelled and document the...
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The first time provider was with client for longer than 6 months. Provider indicated that, on average, 12 clients or more come through their services. Client age, race, ethnicity and disability are also considered. All services are provided by staff who have passed the provider assessment and follow-up training. They also demonstrate competence in recognizing and addressing the needs of individuals in need of services. The first time provider should demonstrate that they can provide a quality service. The client will be provided support at all times. Session Description: Services for individuals in the New York City Early Intervention Program will be provided in: General Population (general population of New York City only) (N=35) Children between the ages of 18 and 35 years (N=18) Early Intervention (age ?2.5 years for most children and age ?3.5 years for many children with moderate intellectual impairment (IMF)). Mixed population (children over 18 or age ?35, both with IMF and without.) Children in a Special Program (mixed group). Early Family Service (IMF) Children living with or at risk of physical or sexual assault Children living in foster or group homes Children in emergency shelters or shelters of transitional care Clients referred to services by NY CHS or NYC HA. Client's choice and not a mandated screening. (New York City Department of Health and Mental Hygiene and NYC HA require all clients in the Early Intervention Program to have one behavioral concern screened for, which could include substance abuse, mental or emotional problems, or behavioral problems with adults.) What is required: All clients have to be assessed at the same time by a professional, and then evaluated by at least two professionals prior to beginning services.

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