Attention Therapists and Agencies

To Become a Preschool Special Education Related Services Only Provider for Children Ages Three to Five Years Old:

Individuals and agencies that would like to contract with the Nassau County Department of Health to provide services for Nassau County Preschool Special Education Students with a Disability can request a contract application by using the link below to down load the Contract Request Data Sheet and the State Central Register Database Check for Child Abuse (SCR) form.  Nassau County will process the SCR on behalf of the applicant(s). 


 

   

Complete the forms and return them to:

Nassau County Department of Health

Office of Children with Special Needs


Preschool Special Education Program

 

Attention: Contracts
60 Charles Lindbergh Blvd, Suite 100
 
  

Uniondale, NY 11553-3683

516-227-8647

To Become a New York State Approved Preschool Special Education 4410 Evaluation Agency4410 Special Education Itinerant Teacher (SEIT) Agency, and/or 4410 Center based Program Provider for Children Ages Three to Five Years Old:
Agency providers of Preschool Special Education evaluation, SEIT services, and center based programs are approved by New York State Department of Education (NYSED) and contracted with the local municipalities.

 Use the NYSED link below to obtain information and an application to become a NYSED approved 4410 Provider:


http://www.p12.nysed.gov/specialed/applications/preschool-home.html


For further information, contact the Education Preschool Policy Unit at (518) 473-6108 or the SEQA Regional Office in your region:


 Long Island Regional Office
          (631) 952-3352
New York City Regional Office    (718) 722-4544



Once the agency has obtained the NYSED 4410 approval, the agency can request a contract application to provide 4410 approved evaluations, SEIT, and/or center based programs by using the link below to down load the Contract Request Data Sheet and the State Central Register Database Check for Child Abuse (SCR) form.  Nassau County will process the SCR on behalf of the applicant(s). 

 


      

 

Complete the forms and return them to:

Nassau County Department of Health

Office of Children with Special Needs

Preschool Special Education Program

Attention: Contracts

 


60 Charles Lindbergh Blvd, Suite 100

Uniondale, NY 11553-3683

516-227-8647




For Agencies to become a Related Services and 4410 Provider:


Once the agency has obtained the NYSED 4410 approval, the agency can request a contract application to provide Related Services in addition to 4410 approved evaluations, SEIT, and/or center based programs by using the link below to down load the Contract Request Data Sheet and the State Central Register Database Check for Child Abuse (SCR) form.  Nassau County will process the SCR on behalf of the applicant(s). 

 


     

Complete the forms and return them to:


Nassau County Department of Health

Office of Children with Special Needs

Preschool Special Education Program

Attention: Contracts

 


60 Charles Lindbergh Blvd, Suite 100

Uniondale, NY 11553-3683

516-227-8647