Get Nyc Early Intervention Program Parental Consent To Initiate

Filling out the NYC Early Intervention Program Parental Consent to Initiate is a crucial step in accessing services for your child. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to obtain the form and access it in your online editor.
2. Locate and fill in your child’s EI ID number in the designated field. This number is essential for identifying your child within the program.
3. Read the statement regarding your understanding of the various programs and services offered by the Early Intervention Program. Confirm your consent by signing and dating the form in the 'Signature of Parent/Guardian' section.
4. The Initial Service Coordinator will need to complete their section by signing and dating the form. Ensure they include their service coordinator ID number.
5. Decide whether to give permission for your child’s service coordinator to send a copy of the initial Individualized Family Service Plan (IFSP) to your child’s physician(s). Indicate your choice by marking the appropriate box on the form.
6. Ensure that the Initial Service Coordinator fills out the required dates and information regarding the referral and evaluation site. This includes the date they received the assignment, provided the Parent’s Guide, and reviewed your rights.
7. After completing all sections, review the form for any errors or omissions. Once confirmed, you can save changes, download, print, or share the form as needed.

Complete your documents online today to ensure timely access to services for your child.