Forms and downloads

Forms & Downloads

Title	Size (Kb)
Parents Rights Agreement (English)	22.69	Download
Parents Rights Agreement (Spanish)	14.87	Download
LICC / STEPP (English)	126.20	Download
LICC / STEPP (Spanish)	13.78	Download
Evaluation Report (English)	75.88	Download
Evaluation Report (Spanish)	72.58	Download
Problem Solving In Early Intervention (English)	108.28	Download
Problem Solving In Early Intervention (Spanish)	258.25	Download
Individualized Family Service Plan (English)	153.34	Download
Individualized Family Service Plan (Spanish)	102.77	Download
HIPAA Notice of Privacy Practices (English)	31.38	Download
HIPAA Notice of Privacy Practices (Spanish)	30.98	Download
14 Day Service Tracking Form	13.78	Download
Community Resource Guide	202.08	Download
Quarterly Progress Monitoring Form	14.62	Download

York County Government Center
100 W Market St Suite 401
York, PA 17401
Phone: (717) 771-9347
Fax: (717) 771-4663