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
In-Person/Telehealth
Session Note ABA
In-Person/Telehealth
Session Note COTA CF
In-Person/Telehealth
Session Note ABA COTA CF
In-Person/Telehealth
Session Note Westchester
In-Person/Telehealth
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
EMERGENCY ALERTS TO Parents
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
Increase/Decrease/Termination
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
.



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