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Hey STC Providers! Here’s where you can download all those fun papers you love to fill out.  Just click to download the forms/papers that you need. What are you looking for?

Provider Service Forms

PA EI Session Note Phila. County EI Service Agreement Phila. County Quarterly Review Form (single service provider) FERBA (Privacy Act of 1974 & Procedural Safeguards) Notice of Privacy Practices (2 pgs.) ECO Instructions & Form

OUNCE Observation Record

Ounce Scale Developmental Profiles The OUNCE Scale Reproducible Masters Observation Record Babies I Birth-4 months Observation Record Babies II 4-8 months Observation Record Babies III 8-12 months Observation Record Babies IV 12-18 months Observation Record Toddlers I 18-24 months Observation Record Toddlers II 24-30 months Observation Record Toddlers III 30-36 months

Progress Monitoring

Behavior Duration Recording Eating Record Expressive Gross Motor Imitation Motor Imitation Utensil Use

Sunshine Therapy Club Agency Forms

STC Photo Release Form Early Intervention Records Release Form STC Provider Incident Reporting STC PAYCHEX Direct Deposit Signup Form W9 Request for Taxpayer ID # & Certification Form

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