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NY IFSP Meeting Request / Confirmation Form 2014-2025 free printable template

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NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE Queens Regional Office nd 90-27 Parsons Blvd 2 Floor P 718-480-2249 / F 718-291-1710 IFSP Meeting Request / Confirmation Form Section I IFSP Meeting Request Completed by Service Coordinator Regional Office Fax 718-291-1710 Attn Scheduler Date Child s Initials EI Family s phone Service Coordinator SC Phone SC Fax Type of IFSP or Paper Review of IFSP No formal meeting requested by parent due to no requested changes to the e Initial...
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How to fill out NY IFSP Meeting Request / Confirmation Form

01
Begin by entering the child's information, including their name, date of birth, and current age.
02
Fill out the parent's or guardian's contact details, including their name, address, phone number, and email.
03
Specify the reason for the meeting request in the provided section.
04
Indicate your preferred date and time for the meeting, keeping in mind any scheduling constraints.
05
List all participants expected to attend the meeting, including their roles and relationship to the child.
06
Sign and date the form at the bottom, confirming that the information provided is accurate.
07
Submit the form to the appropriate Early Intervention Official or agency.

Who needs NY IFSP Meeting Request / Confirmation Form?

01
Parents or guardians of children who are part of the Early Intervention Program.
02
Early Intervention service providers who require confirmation of meetings.
03
Educational staff involved in the child’s support and planning.

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What you're about to view as an example of an individualized Family Service Plan or ISP meeting the purpose of this meeting is to develop a plan of supports that will address the family's priorities and areas of concern, so before we get started I thought we'd go over some brief introductions I'm Tina, and I'll be the service coordinator today my role is just to facilitate the meeting and to make sure that your needs are met would you like to introduce yourselves to the family Ted I don't know if you met everyone you all have met what Maria individually I'm Jennifer I'm the occupational therapist I'm mom Maria thanks for coming to our house today, and I'm very sad a couple of weeks ago okay thank you, so I've already passed out the agenda, and it highlights that we're just going to review the concerns that mom and dad have for free today we're gonna talk about her outcomes we have two types of outcomes that we'll discuss today and will also capture some of this handwritten as well as on the computer just to let you know and this service plan will be good for one year there are two outcomes like I said there's child outcomes which we'll do today will do again in one year, and we'll do when we exit the program there's family-centered outcomes as well and those are geared around your priorities for BRI and those will kind of set in place what the services will be like it set the tone for the ISP okay the individualized Family Service Plan or ISP is a written plan developed by a multidisciplinary team that includes a family for determining early intervention services for an eligible child and his or her family remember the ISP must be developed jointly by the family and appropriately qualified personnel at a team meeting the ISP meeting must be completed within 45 days of referral for children found eligible for early intervention every attempt should be made to schedule meetings that allow all participants to participate and the meeting face to face when possible service coordinators set the pace for the ISP meeting service coordinators should slow the meeting down or ask for a break if they feel it would benefit the family all information at the meeting should be presented in a way that encourages anyone at the meeting to ask questions or disagree with what is being stated the goals of writing every ISP are to establish family priorities create global family centered functional outcomes develop interactive strategies to meet those outcomes and develop a plan of services to support families and carrying out the strategies agreed-upon just to recap your concerns about Free were her communication skills you were also concerned about her w sitting and then a friend of yours who was a speech therapist also mentioned something about her sensory processing skills right I'm still concerned about her speech, but she's improved since the last time you all were here, so you know she's starting to do some more signing the W sitting I'm less concerned about...

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The NY IFSP Meeting Request / Confirmation Form is a document used to request and confirm meetings related to the Individualized Family Service Plan (IFSP) for infants and toddlers with developmental delays or disabilities in New York.
The form is typically required to be filed by families, service coordinators, and providers involved in the IFSP process for children under the age of three who receive early intervention services.
To fill out the form, individuals must provide details such as the child's information, the purpose of the meeting, preferred dates and times for the meeting, and the names and contact information of attendees.
The purpose of the form is to facilitate the scheduling and confirmation of meetings to discuss and review the IFSP, ensuring that all relevant parties are informed and able to participate.
The form requires reporting of the child's name, date of birth, NY EIS number, parental contact information, requested meeting date and time, purpose of the meeting, and attendees.
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