Welcome to Important Steps website
  Information for Clinicians - Early Intervention

Please click on a link below to download a form.
Consent for Telehealth
Consent for In-Person to Initiate or Resume Services
Parent Confirmation Log
Telehealth Services
Session Note
Session Note ABA
Session Note COTA CF
Session Note ABA COTA CF
Session Note Westchester
Family Checklist for Telehealth
Explanation for Delay or Interruption in Services due to COVID-19
Invoice Summary of Services
Itinerant Monthly Billing Form
Itinerant Monthly Billing Forms - Resubmission
Billing Form for EIP Evaluations
Billing Invoice Translation
Calendar-Billing/Payment Schedule
Consent for Evaluation
Parental Consent to Use Interventionist w Formal Plan of Supervision
Parental Consent to Use e-Mail
Parental Confirmation Form Letter
Incident Report
Record Of Injury
Explanation for delay /
Interruption of Services
Community DayCares Health & Safety Survey NYSDOH
Home Health Safety Survey NYSDOH
5 Day Interruption Notification-Therapist-EI
30 Day Notification-Request for Removal from the case-Therapist-EI
Article 47 - Notification of Assignment of Professional Consultant
Parent Request for Early/Late Hours of EI Service
Request for additional Evaluation

Please click on a link below to download a form.

The following is a list of documents that must be submittend to Important Steps, Inc. in order to receive Home-Based Early Intervention cases.

Please click on the links bellow to download the forms that must be filled out and sent or faxed to us.

For W-2 Employees of Important Steps, Inc. please send or fax the following:

For 1099 and incorporated contractors the following must send or faxed to us:
  • The requirements listed above.
  • Letter of Agreement
  • Worker's Compensation Insurance (or proof of ownership of corp.)
  • State Approval
  • IRS Taxpayer Identification Number (Supporting Letter)
  • W-9 Form

You can FAX forms to (718) 882-2117 att: Human Resources 24 hours day, seven days a week.
If you have any questions, please call our HR Director at (718)-882-2111 Ext. 103

Mandatory In-Service Training

Date: Dec 15, 2021 (Wednesday) at 5:30pm OR
Date: Dec 16, 2021 (Thursday) at 11:00pm


I. Topic: Review "Revised - Corporate Policy on Fraud Prevention"
       Presenter: Jennifer Joly-Taylor MS. ED., ABA Field Supervisor
  •  Fraud Prevention Unit - Control structure to reduce the potential for fraud, waste, and abuse
  •  How to self-correct errors before the Medicaid program is billed

II. Topic: "Annual Medicaid and Sexual Harassment Training:
                         Poised & Prepared for Professionalism"

       Presenter: Dr. Kasia Motylewicz, DBH, BCBA, QBA, LBA
                         and Janet Reznik, MSED, Program Director
  • Medicaid Compliance Policy-Revised
  •  Medicaid Alerts/Medicaid List of Disqualified Personnel
  •  NYS Department of Labor Law on Sexual Harassment
  •  Overview of Required by NYSDOH Paperwork

III. Topic: "COVID-19" NYSDOH EIP- Revised Policy
  •  Vaccination Requirements- 12/20/21
  •  PPE, Screening & Equipment for In-Person Services/Evaluations

IV. Topic: "Annual ABA Training" For ABA providers only (6pm-7pm)

       Presenter: Dr. Kasia Motylewicz, DBH, BCBA, QBA, LBA
and Innessa Conte, BCBA/SLP/TSSLD, NYS LBA, ABA Clinical Director
  •  Review of ABA Policy: CPT codes for ABA and Team Meeting Services
  •  Overview of Required by NYSDOH ABA Paperwork

Training will be conducted Via Zoom. Please see email from Alexia Volynsky for the Invite

Happy Holidays! Wishing you all the best in the New Year of 2022!!!

Important Steps, Inc.
Early Childhood Program
Phone: (718) 882 - 2111
Fax: (718) 882 - 2117