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 is NY IFSP Meeting Request / Confirmation Form?
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.
Who is required to file NY IFSP Meeting Request / Confirmation Form?
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.
How to fill out NY IFSP Meeting Request / Confirmation Form?
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.
What is the purpose of NY IFSP Meeting Request / Confirmation Form?
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.
What information must be reported on NY IFSP Meeting Request / Confirmation Form?
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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