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  Business Page
This page is for Early Steps of Southwest Florida's Direct Staff, Outside Providers, and Interested Providers to access information regarding the following areas of interest:
Provider Training Information
Direct and Contracted Staff
 COMING SOON: Transitions
Important Forms, Reports, and More
Direct and Contracted Staff
*NEW Contract Attachment 6 Training Record -
This form is used by Providers to track their annual Early Intervention Trainings (12 Hours per Fiscal Year).
*NEW Contract Attachment 7 Provider Referral Checklist -
This form is to be submitted with the Providers Monthly Invoice for each child documenting the Inital Date of Contact & Date Services Began for each new referral / authorization.
*NEW Contract Attachment 8 Monthly Report -
This form is used by Providers to report child and family progress to the team. It is sent to Early Steps with the Monthly Invoice.
Contract Attachment 9 Summary of Family Rights ESPAÑOL CREOLE
*NEW Contract Attachment 10 Consultation Among Service Providers -
This form is used to document consultations between team members and a copy is submitted to Early Steps with the Monthly Invoice.
*NEW Contract Attachment 11 Team Review Form -
This form is used to document the individuals involved in a child's Team Review and should be completed by each Provider involved.
*NEW Contract Attachment 12 Provider Invoice -
This form is used by Providers to submit the Monthly Billing to Early Steps for their Services.
This form is used by the Administrative Staff to review Provider Files.
*NEW Contract Attachment 14 Natural Environment Travel Log -
This form is for our Providers and is used to document their travel for Early Steps appointments.
*NEW Contract Attachment 15 IAR Form -
This form is used by Providers and Service Coordinators to document services completed.
This form is used by Providers to document progress and updates for their individual sessions.
Insurance Verification Form ESPAÑOL -
This form is used by Service Coordinators and/or Providers to collect insurance information for third party billing. The form is an Adobe pdf and can be edited on the computer, however the form must have original-ink signatures.
**As the documents come available, they will be posted and updated on this page.
Early Steps Special Projects Local Early Steps Staff
Medical Fragile Enhancement Team
A project created to increase the body of knowledge on medical conditions and therapies, as they relate to the development of medically fragile infants and toddlers.
Infant Mental Health Workgroup
 A workgroup intended to design multidisciplinary, interagency strategies to develop networking and referral systems to
provide family oriented infant mental health services.
NEW Communication from a Child's Point of View
This Class is taught by Early Steps' Jeremi Grosser, MS, CCC-SLP 
& will be for families with children that have communication concerns. During the class the families will learn everyday strategies to increase & improve their child's communication skills & sessions will start back up in January.
For More Information Please Contact your Serivce Coordinator
and visit our Resource Library from more Communication Resources.
Interested in becoming an Early Steps Provider?
Complete the following steps to breeze through the process.
1. If you do not have an National Provider Identifier (NPI) Number go
bottom of the web page.
4. Enter your First & Last Name and then create a personal Password (at least 6
characters) using at least one of each of the following: Upper Case Letter,
Lower Case Letter, Number, and Special Character
**Document your Password**
5. When your information is accepted you will move onto the First Page of the
CMS Application and a window will pop-up noting your Username. 
**Document your Username**
6. Enter all the required information (*) in each section and
Select Save & Continue to move on.
7. Once your application has been completed, submitted, and
confirmed you will receive an email from the State Office
with your Provider Checklist attached.
8. Contact Katie Moore at (239) 433-6700 to for assistance with the CMS and
Medicaid processes, or for more information.
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Core Team Calendar(s):