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New York City Early Intervention Program Case Closure Form DOB: EI# Submission Date: SC Agency: Fax#: Child’s Name (Last, First): Effective Date of Closure: SC Name (Last, First): Telephone #: I.
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What is early intervention closure form?
The early intervention closure form is a document used to officially indicate the end or termination of a child's participation in an early intervention program.
Who is required to file early intervention closure form?
Parents or legal guardians of the child who has received early intervention services are required to file the early intervention closure form.
How to fill out early intervention closure form?
To fill out the early intervention closure form, you need to provide information about the child, their progress during the intervention, the reason for closure, and any future recommendations from the early intervention team.
What is the purpose of early intervention closure form?
The purpose of the early intervention closure form is to document the conclusion of a child's participation in an early intervention program and to provide a summary of their progress and next steps.
What information must be reported on early intervention closure form?
The early intervention closure form typically requires information about the child's name, date of birth, early intervention program details, progress made during the intervention, reason for closure, and any recommended future services.
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