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Get Early Intervention Session Notes Version 2 2015-2024

to the interventionist’s provider agency for billing purposes. All Session Note fields are mandatory. A provider may add additional fields to the form if necessary. Refer to the Session Note Policy DEMOGRAPHIC/AUTHORIZATION INFORMATION Information must be the same as in NYEIS (do not use nickname). Child’s Name: Enter child’s date of birth. DOB: Enter the sex of the child (M, F) Sex: The EI # appears at the top of the “Child Homepage” in NYEIS EI #: Print the name of the interventioni.

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