Providers
- 2024-25 UF NCES Provider MOA
- 2024-25 UF NCES Provider Manual
- UF NCES Provider List
- Exhibit A – Service Initiation Form
- Exhibit B – Weekly Session Note (Word)
- Exhibit B – Weekly Session Note (PDF)
- Exhibit B – Caregiver Signature Log
- Exhibit C – Assessment Report
- Exhibit D – Protocol Example Calculation Sheet
- Exhibit E – Discharge Summary Form
- Exhibit F – Procedural Safeguards
- Exhibit G – Statement of Understanding
- Exhibit H – Fee Schedule
- Exhibit I – Claims Form COMBO
- Exhibit I – Claims Form EI
- Exhibit I – Claims Form THERAPY
- Exhibit J – In-State Travel Form – Community Providers
- Exhibit J – In-State Travel Form – EXAMPLE ONLY
- Exhibit J – NCES Travel Reimbursement Guidelines
- Exhibit K – Consultation Form
- Exhibit L – Homeland Security Statement
- Exhibit M – E-verify Affidavit
- Exhibit N – MMA Plan Enrollment Summary
- Exhibit O – TPIN Plan Enrollment Summary
- Plan of Care – EI (Word)
- Plan of Care – EI (PDF)
- Plan of Care – THERAPY (Word)
- Plan of Care – THERAPY (PDF)
- AT Activity Based Assessment
- AT Receipt form
- AT Request
- UF NCES – IFSP Form
- IFSP Participant Form
- Established Conditions List
- Child Outcomes Summary Form
- ITDS Continuing Education Credits Form
- ITDS Recertification Form