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Nassau County, NY
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Parent Information


1. Consent for Participation in the Early Intervention Program EI 5148

2. Health Status EI 5167.A

3. Child Insurance Information Forms B and C

4. Insurance Form Instructions and Parent Notice Regarding Insurance

5. EI Evaluator List

6. Parent Consent to Use Email EI 5352

7. Parent Resources and Support List

8. Spanish Consent for Participation in the Early Intervention Program EI 5148

9. Spanish Child Insurance Information Forms B and C

10. Spanish Insurance Form Instructions and Parent Notice Regarding Insurance


  1. Health Department Home
  2. About Us
  3. A - Z of Resources
  4. Child and Family
    1. Early Intervention
    2. WIC
    3. Preschool Special Education
    4. Cribs for Kids
    5. Childhood lead poisoning prevention
    6. Healthy Moms and Babies
    7. Child Fatality Review Team
    8. Perinatal Services Network
    9. Perinatal Data
  5. Data & Reports
  6. Employment & Volunteer Opportunities
  7. Environment Health
    1. Environmental Health Brochure (PDF)
    2. Food Protection
    3. Lifeguards
    4. Public Water Supply
      1. Water Quality Foreword
      2. Major Findings
      3. Sampling Site Selection Criteria
      4. Monitoring Results From Public Supply Wells
      5. Nitrate Nitrite and Perchlorate
      6. Recommendations
      7. Appendix A
      8. Perchlorate and Nitrate
      9. Appendix B
      10. Appendix C
      11. Appendix D
      12. Appendix E
      13. Appendix F
      14. Appendix G
      15. Appendix H
      16. Monitoring Results Golf Course Irrigation Wells
  8. Petroleum Bulk Storage
  9. Toxic & Hazardous Material Storage
  10. Small Petroleum Tank Abandonments and Removals
  11. FAQ
  12. Fight the Flu 2020
  13. Food Managers Training Course
  14. Medical Reserve Corps (MRC)
  15. Mosquito Surveillance and Control
  16. Need a Form?
  17. News Releases
  18. Programs and Services
  19. Public Health Emergency Preparedness (PHEP)
  20. Regulations & Enforcement
  21. Contact Us
  22. FOIL Requests
  23. Parent Information
  24. For Providers
  25. Attention Therapists and Agencies
  26. Child Safe Summer
  27. Record Requests
  28. Coronavirus COVID-19
  29. Breast Cancer and Prostate Health
  30. Health Disparities Study RFP
  31. Food Services COVID-19 Resources
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