Las regulaciones del Estado de Nueva York requiere que su hijo/hija tenga una receta medica para recibir los servicios de Terapia Ocupacional y Terapia Fisica.  Incluida esta la forma de receta para recibir estos servicios para el ano escolar 2016-2017.  Por favor, llevar esta forma a su medico para obtener toda la informacion necesaria y seguir las leyes del programa de Medicaid. 

The prescription form is required prior to any occupational therapy and/or physical therapy services begin.  It is important that your child’s physician use the enclosed form to ensure that all the necessary information is included to satisfy the Medicaid guidelines. 

This form gives consent for individuals to share information with the school about your child. 

This form is used after your child has had a medical procedure or injury in the interest of safety. It is filled out by a physician prior to continuation of PT or OT services.