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SUFFOLK COUNTY EARLY INTERVENTION PROGRAM SESSION NOTE Child's Name: DOB: Providers Name: Provider NPI# License # Up Wee Grow, Inc. Agency Name: Agency NPI # 1699821868 Auth. Period: / / to / / EI
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How to fill out suffolk county early intervention:

01
Obtain the necessary application forms from the suffolk county early intervention office or website.
02
Fill out the personal information section, including the child's name, date of birth, and contact details.
03
Provide information about the child's developmental concerns or delays, including any diagnosed disabilities or medical conditions.
04
Include details about any previous early intervention services the child has received.
05
Attach any relevant medical or educational reports or evaluations to support the application.
06
Submit the completed application along with any additional documents to the suffolk county early intervention office.

Who needs suffolk county early intervention:

01
Children between the ages of birth to three years old who have developmental delays or disabilities.
02
Children who require support in areas such as speech and language, motor skills, cognitive development, or social-emotional skills.
03
Families who reside in suffolk county and are seeking early intervention services for their child's developmental needs.
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Suffolk County Early Intervention is a program designed to support infants and toddlers with developmental delays or disabilities by providing early access to services, resources, and support.
Parents or guardians of children who are suspected of having developmental delays or disabilities are required to file for Suffolk County Early Intervention services.
To fill out Suffolk County Early Intervention, parents should complete the necessary referral forms, provide documentation of their child's developmental concerns, and submit these to the local early intervention agency.
The purpose of Suffolk County Early Intervention is to help children with developmental delays receive timely services to foster their growth and development, ultimately improving their future outcomes.
Information that must be reported includes the child's name, date of birth, contact information for parents or guardians, developmental concerns, and any relevant medical or educational history.
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