Doh 294a 2025

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The document is an application form from the New York State Department of Health for agencies or incorporated groups seeking approval as evaluators, service providers, and service coordinators in the Early Intervention Program. It includes sections for general agency information, operator details, agency affiliation, project outline, qualified personnel, assurances of compliance with regulations, and a checklist of required documents. The application aims to ensure that agencies meet necessary qualifications and standards to provide early intervention services.

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2005	4.8 Satisfied (280 Votes)

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