Early Intervention Services in New York 101
If you are a New Yorker and have a child who is newborn to age three years old who you have developmental concerns about, your child may qualify for an evaluation and services through Early Intervention, Early Intervention is a program funded by taxes for children 0-3 years. If you do not want to want to navigate the process of obtaining an evaluation or therapy services via Early Intervention or you want speech therapy in addition to the services that would possibly be provided by early intervention or the school, then you can seek out a private practice. The information in this blog post is from the New York State Department of Health website. For your convenience, I have turned the information in a Q&A style format and put all of the information on one page so you do not need to navigate to multiple web pages while also trying to navigate the Early Intervention system.
What is early intervention?
According to the Center for Disease Control, “Early intervention Is the term used to describe the services and supports that are available to babies and young children with developmental delays and disabilities and their families”. Early intervention may include speech therapy, physical therapy, occupational therapy and other types of services based on the needs of the child and family. According to the American Speech-Language Hearing Association, Early Intervention will help children and families work on:
“cognitive skills (thinking, learning, problem-solving);
communication skills (gesturing, talking, listening, understanding, interacting with others);
physical and sensory skills (crawling, walking, climbing, seeing, hearing);
social–emotional skills (playing, understanding feelings, making friends); and
adaptive or self-help skills (eating, bathing, dressing)”
Why is early intervention important?
The earlier a problem is detected, the earlier you can work on improving it. Speech-Language Audiology Canada shares, “ Because learning is a cumulative process, difficulties early-on can have a cascading effect on the rest of a child’s life. A slow start out of the gate will mean playing catch-up for years to come.” In their position paper, Speech-Language Audiology Canada stated, “The first three years of life are a time of rapid brain organization and growth that affects not only linguistic [language] development but also cognitive, emotional, social and motor development. Optimal brain development during the first three years is therefore vitally important to long-term outcomes, impacted by interactions between early physical, social, emotional and experiential learning (Hertzman, 2000; Shonkoff & Meisels, 2000). Typically there is explosive phonological, vocabulary, syntax and semantic growth, as well as the emergence of sense of self in relation to others for the social use of speech and language. Child-specific biological vulnerabilities, as well as environmental factors that affect vulnerabilities, need to be identified during this time. Without early identification programs, followed by integral early intervention programs, children with speech and language problems could have poorer adult outcomes, resulting in familial and societal stress (Hertzman, 2000). Fortunately, difficulties in speech and language learning in the early years can be ameliorated, or in some cases prevented, if they are efficiently identified (Hertzman, 2000; Hertzman, 2010).” According to the Center for Disease Control, early intervention “can have a significant impact on a child’s ability to learn new skills and overcome challenges and can increase success in school and life”.
Are the evaluation and services offered through the Early Intervention Program (EIP) really free?
Yes, you do not have to pay out of pocket for evaluations or services through EIP. This program is funded through taxes. Thank you everyone for paying taxes so babies and toddlers can have the therapeutic services that they need to develop, flourish, thrive and succeed!
“Under New York State Public Health Law, EI services must be provided at no cost to parents;
Private insurance and Medicaid are part of NYS' system of payments for EI services. These private payors are important resources for the EIP;
Health insurance will only be used for payment of EI services if your child's/ family's policy is regulated, or with your consent, if the policy is non-regulated; and
All EIP services in your child's IFSP, including service coordination and evaluations, must be provided if you decline to provide insurance information, or if your child is uninsured.”
If my child is referred for Early Intervention (EIP), does that automatically guarantee they will receive therapy services for free through EIP?
Generally no, there is no guarantee that a child 0-3 years old will receive therapy services through EIP unless the child has a certain diagnosed condition. First the child is referred for services, then they are evaluated by a multidisciplinary team. The outcome of the evaluation will determine if the child is eligible to receive therapy services through EIP. “In New York State, consistent with federal requirements, a child must be experiencing a delay in an area (i.e., domain) of development that is significant enough to require early intervention.
EIP regulations at 10 NYCRR §69-4.1(g) describe the process for measuring developmental delay to determine whether a child is experiencing a developmental delay of sufficient significance to meet EIP eligibility criteria. Specifically, the regulations require that developmental delay must be:
measured by qualified personnel using informed clinical opinion, appropriate diagnostic procedures, and/or instruments; and,
documented for eligibility purposes.
To be initially eligible for the EIP based on developmental delay, the following criteria must be met:
a child must be experiencing a12 month delay in one or more functional areas; or,
a 33% delay in one functional area or a 25% delay in each of two areas; or,
if standardized instruments are used during the evaluation process, a score of at least 2 standard deviations below the mean in one functional area or a score of at least 1.5 standard deviations below the mean in each of two functional areas.”
What is the evaluation like?
A multidisciplinary evaluation team will provide a comprehensive multidisciplinary evaluation (MDE). Members of the evaluation team include a variety of professionals and may include a speech-language pathologist, occupational therapist and physical therapist.
The evaluation process must be responsive to your child and family's cultural background, including the languages spoken at home and will include:
A health assessment, including vision and hearing screening. Your child's health assessment should be done by your child's health care provider whenever possible. If your child has had a recent checkup, a new one may not be needed;
With your consent, a review of any of your child's previous records that may be helpful;
An assessment of your child's strengths and needs in each area of development (physical, cognitive, communication, social-emotional, and adaptive);
An interview with you about your concerns related to your child's development, and what your child is like; and
A discussion about your child's transportation needs if EI services will take place outside the home.
The results of the MDE will be used to determine your child's eligibility for the EIP. You and the evaluation team will meet and review all of the information about your child's developmental progress. The evaluation team will talk with you about whether your child meets the EIP criteria for having a developmental delay, or a diagnosed physical or mental condition, and is eligible for the EIP. If you have any questions or comments about the evaluation please email: bei@health.ny.gov
“As part of your child's MDE, you will be given the opportunity to participate in an optional family assessment; it is not required. The family assessment is family-directed and used to help you determine the resources, priorities, and concerns of your family related to caring for and enhancing your child's development; it is not a test of your parenting skills. The family assessment is based on information provided by you and your family in a personal one-to-one discussion with a member of your child's evaluation team. The family assessment can help you to think about what you need most from EI services and other community services or supports. It can also help you prepare for your Individual Family Service Plan (IFSP) meeting. All of the information that you share is kept private. You decide what information from the assessment should be included in the evaluation report, and discussed at your IFSP meeting.”
How do I get my child evaluated by the Early Intervention Program (EIP)?
First, your child needs to be referred to the EIP. According to the New York State Department of Health website. Professionals, such as doctors, can refer your child to the EIP, unless you object, when there is a concern about your child's development. If you have a concern, you can also refer your child to the EIP in the county where you live Municipal/County Contacts for the Early Intervention Program or you can call the "Growing Up Healthy" 24-hour Hotline at 1-800-522-5006; in New York City dial 311.
Second, an Initial Service Coordinator (ISC) will work with your family. They will talk with you about the developmental concerns you have about your child and answer your questions about the EIP.
What does the Initial Service Coordinator (ISC) do?
The ISC is practically your guide through the EIP. The ISC will..
Talk with you about the developmental concerns you have about your child
Answer your questions about the EIP
Review your family's rights and make sure you understand them;
Talk with you about your child's evaluation for the EIP, and how this evaluation will determine if your child is eligible to receive services through the EIP;
Give you the list of evaluators in your county and help you pick one that will meet your child's and family's needs;
With your permission, help arrange for your child's evaluation;
Help you arrange for transportation to your child's evaluation, if you need it;
Attend your child's evaluation if you wish;
Inform you that, in NYS, EI services must be provided at no cost to your family. However, NYS's system of payment for the EIP includes the use of public insurance (such as Medicaid and Child Health Plus) and private insurance (such as United Healthcare and others) for reimbursement of EI services;
Collect information and documentation about your child's insurance coverage, including public and private insurance. This information includes: the type of insurance policy or health benefits plan, the name of the insurer or plan administrator, the policy or plan identification number, the type of coverage in the policy and any other information needed to bill your insurance; and
Explain your rights and responsibilities regarding your family's health insurance, and answer your questions about the protections the law provides for family insurance benefits.
What happens if my child's evaluation shows my child is eligible for the EIP?
Your ISC will:
Answer your questions about the EIP;
Set up a meeting to work on your Individualized Family Service Plan (IFSP);
Help you understand what this meeting will be like, who else must be there, and who can be invited;
Explain how your health insurance can be used and that early intervention services will be at no cost to you;
If your child is uninsured, the ISC is responsible for assisting you in identifying and applying for benefit programs for which your family may >be eligible, including Medicaid, Child Health Plus, and Social Security Disability Income, however, you are not required to enroll in order for EIP services to be provided;
Obtain information about the status of your family's private insurance coverage and Medicaid status;
Help you resolve any problems that might come up – including disagreements about the service(s) you and your child might need;
Give you information on other programs and services which can help your family, including, the NYS Office for People with Developmental Disabilities (OPWDD) eligibility and available programs and services;
Discuss with you and your child's evaluators whether your child is potentially eligible for programs and services under the OPWDD; and
With your consent, notify the appropriate OPWDD contact person of the potential eligibility of your child for OPWDD programs and services. If you are interested, your service coordinator will help you make a referral to OPWDD.
If the evaluation shows that your child is not eligible for the EIP, your ISC will tell you about other services that may help. If you disagree with the evaluation findings, you can appeal the decision. You may review the section on "Your Rights as a Parent in the Early Intervention Program" to see the options you have, if you disagree with the evaluation findings
What is an Individual Family Service Plan (IFSP)?
“The Individualized Family Service Plan, or IFSP, is a written plan that will be specially designed for you, your child, and your family that outlines and explains the EI services your child and family will receive. If the MDE shows that your child is eligible for the EIP, your ISC will set up an IFSP meeting to sit down and write your IFSP. The IFSP is a very important document and you are an important member of the team that develops it. If you need extra time to think about the plan, ask for it. You may want to discuss the plan with other family members or review it to make sure it meets the needs of your child and family. You will be asked to sign your IFSP when the plan is finished. When you sign the IFSP, you show that you were at the IFSP meeting and that you agree to the services in the plan. You are also giving your consent to start EI services.
If you and the IFSP team do not agree on the IFSP you do not have to sign the IFSP. You can give your written consent to start the services that you agree with, and exercise your due process rights to resolve the disagreement.
Your ISC will tell you about what happens at the IFSP meeting and help you prepare. Some important things you need to know about your IFSP meeting include:
The IFSP meeting must be held at a time and place that is good for you and your family;
You, your ISC, the Early Intervention Official (EIO) in your county, and evaluation team, or selected member of the team must take part in the meeting;
You can invite others to attend the IFSP meeting, such as family, friends, your babysitter, or child care providers;
Your ISC can invite others to take part in the meeting, with your consent;
You can ask an advocate to take part in the meeting;
You, your ISC, your child's evaluators, and your EIO will review the information that has been collected about your child's development and will decide together how the EIP will help your child and family;
Your family's resources, priorities and concerns related to your child's development will be discussed;
You will help to identify outcomes (improvements you would like to see in your child's develop- ment) for your child and family;
Strategies, activities, and services that will lead to the outcomes you hope to reach will be developed and written on the plan;
Your need for respite services will be discussed, as appropriate, and determined based on the individual needs of your child and family. Respite services can be used for temporary relief of caregiving responsibilities that may be necessary for your child. Respite may be provided in the home or another appropriate location;
To include a service in your IFSP, you and all members of the IFSP team must agree to the service; and
You may accept or decline any EI service without jeopardizing your child's right to receive any of the other EI services identified in the IFSP.
Your family's IFSP will include the following information:
A statement of your child's current level of functioning;
With your permission, a statement of your family's resources, priorities, and concerns related to your child's development;
A statement of the major outcomes expected from EI services. IFSP outcomes must be meaningful and based on your child and family's needs and priorities;
A statement of the EI services, including transportation, needed to meet your child's and family's needs;
A plan for when your child is in day care, and when needed, for EI service providers to train the day care staff to meet the needs of your child;
A physician's, physician's assistant's or nurse practitioner's order or prescription for EI services that require an order/prescription from specific medical professionals;
A statement about other services, including medical services that are needed by your child and family that are not provided or paid for by the EIP;
The dates that services are expected to begin as soon as possible after the IFSP meeting, once you have signed the plan and given your permission;
The name of the ongoing service coordinator who will help you to put the plan into action;
The steps to help your child and family change to other services, including preschool special education services. In the EIP, this is called transition planning; and
A statement of the natural environments where EI services will be provided. "Natural environment" means settings where infants and toddlers are typically found in the community. This can be your home or another community location, such as day care or at a playground.
Services should begin as soon as possible after you have given your consent for the EI services listed in the IFSP. Your EIO must convene a meeting at least annually to evaluate and, as necessary, revise the IFSP for your child and family. The EIO is also responsible for making sure the IFSP is reviewed every six months or more frequently if you request a review.”
What is an Ongoing Service Coordinator (OSC)?
“At your first IFSP meeting you will be asked to select an Ongoing Service Coordinator (OSC) who may be different from your ISC. Choosing your OSC is an important decision. This service coordinator will be responsible for putting your IFSP into action.
Your Ongoing Service Coordinator will also be responsible for:
Talking with you about any scheduling or other needs that your family may have that will impact the assignment of providers;
Reviewing your IFSP to identify your child's and family's early intervention service needs;
Contacting you to confirm scheduling, services, and other needs;
Assigning and arranging for providers to deliver services in the IFSP who are approved by and under agreement with the New York State Department of Health;
Arranging contact between you and your assigned provider(s);
Coordinating EI services with other services your family is getting, such as day care services;
Making sure your child and family get all the services in your IFSP;
Following-up with you and your assigned provider(s) to make sure the scheduling and first day of service occurs within the required timeframe;
Informing you about advocacy services;
Making sure six-month reviews and annual evaluations of your IFSP are completed;
Helping you make any changes to your IFSP that may be needed between six-month reviews and annual evaluations;
Updating your family's insurance information as the need arises. You should let your OSC know if there are any changes in the family's insurance policy, including Medicaid and Child Health Plus;
Notifying school districts of the potential transition of your child from the EIP to preschool special education services; and
Meeting with you to develop a transition plan that will include the steps needed to help you and your child leave the EIP and begin new services.”
What happens when my child turns 3/ages out?
“A transition plan must be developed for all children leaving the EIP, including going to Preschool Special Education or other services, on or close to their third birthday. The transition plan should include any help, support, and services that you and your child might need to adjust to the change in services and make a smooth transition. Discussions of the transition plan should start with your child's first IFSP. Some children will no longer need any services. Other children and families may go on to early childhood programs or to other services in their community. If you or someone else thinks that your child is eligible for preschool special education services, your service coordinator will notify the Committee on Preschool Special Education (CPSE) in your school district. You will have the opportunity to "opt-out" of the CPSE notification. The OSC cannot take this step if you object.
Additional steps to transition include:
Your OSC must offer you a chance to have a transition conference. A transition conference is a meeting that is held with the chairperson of the CPSE (or his/her designee) to decide whether your child should be referred for preschool special education services. This meeting is called a transition conference. You may decide if you would like to have a transition conference or not have one. You will be asked to give your consent to your OSC for this conference to take place;
If you decline to have a transition conference, your OSC will provide you with written transition information;
If you consent to the transition conference, your OSC will arrange for the transition conference with you, the CPSE chairperson/designee, and other members of the IFSP team as invited. The transition conference should be held at least 90 days before your child is first eligible for services through the CPSE. Your OSC will provide you with information on when your child is first eligible for services through the CPSE;
Whether or not you choose to have a transition conference, you can decide to refer your child to the school district CPSE. Your OSC can help you to make this referral. You will need to refer your child in enough time for your child to be evaluated by the CPSE, and for the CPSE to make a decision about your child's eligibility for preschool special education before your child's third birthday. Otherwise, eligibility for EI services will end on the day before your child's third birthday;
Once your child is referred, the CPSE will contact you to tell you about how to get your child evaluated. The CPSE will ask for your written consent to evaluate your child;
Your child's EIP records can be used by the CPSE to decide how to evaluate your child. Your service coordinator will work with you to identify evaluation reports and other records from the EIP that may be helpful. Your OSC will need your written consent to provide the CPSE with EIP evaluation reports and records that may be helpful;
The CPSE must have a meeting to make a decision on your child's eligibility and services, and must provide a recommendation to the Board of Education within the school district, within 60 calendar days of getting your written consent to evaluate your child. You can ask the CPSE chairperson to invite your OSC to this meeting;
If your child is eligible for preschool special education, an Individual Education Plan (IEP) will be developed for your child. You can choose to begin preschool special education programs and services when your child is first eligible or choose to stay in the EIP until your child ages out. If you decide you want to have your child leave the EIP and start preschool special education services, you should contact the CPSE chairperson in your school district; and
If your child is not eligible for preschool special education, EIP services will end the day before your child turns three years old. A transition plan for your child will be made with your input. If your child and family need other services, the plan will include these services, and steps to help you get these services.”
Where can I go if I still have questions or concerns?
“For more information about the Early Intervention Program services, contact:
New York State Department of Health Bureau of Early Intervention
Corning Tower Building, Room 287 Empire State Plaza
Albany, New York 12237-0660(518) 473-7016
Fax: (518) 486-1090
beipub@health.ny.gov
Frequently asked questions for parents, EIP regulations, related terms and abbreviations, and telephone numbers for your local EIP is available online at: Municipal/County Contacts for the Early Intervention Program
For more information about early intervention and other child-related services, contact the following:
"Growing Up Healthy" 24-Hour Hotline: 1-800-522-5006
In New York City, dial 311
Early Childhood Direction Centers New York State Education Department
(518) 486-7462
TTY: (518) 474-5652
New York Parent and Kid Connection Helpline: 1-800-345-KIDS (5437) (Available Monday-Friday 9am-5pm)
NYS Justice Center for the Protection of People with Special Needs
Advocacy1-800-624-4143 Information and Referral (Monday- Friday, 8:30am-4:30pm)TTY: Dial 7-1-1 for the NYS Relay and give the operator 1-800-624-4143
Parent to Parent of New York State - (518) 381-4530 or 1-800-305-8817
Parent Training and Information Centers
Statewide (Except NYC): (585) 546-1700
New York State Only: 1-800-650-4967
Starbridge (Statewide except for the 5 boroughs of New York City)
(585) 546-1700 or 1-800-650-4967 (in NYS)
INCLUDEnyc (Serving the 5 boroughs of New York City)(Formerly Resources for Children with Special Needs)
(212) 677-4650
Advocates for Children of New York (Serving the 5 boroughs of New York City)
1-800-427-6033 or (212) 947-9779”
Municipal/County Contacts for the Early Intervention Program:
Albany County Department for Children, Youth and Families
112 State Street, 3rd Floor
Albany, New York 12207
Main: 518-447-4820
Fax: 518-447-4855
Allegany County Health Department
7 Court Street Rm 19
Belmont, New York 14813
Main: 585-268-9767
Fax: 585-268-9598
Broome County Health Department
225 Front Street
Binghamton, New York 13905
Main: 607-778-2851
Fax: 607-778-2864
Cattaraugus County Health Department
1 Leo Moss Drive, Suite 4010
Olean, New York 14760
Main: 716-373-8050
Fax: 716-701-3737
Cayuga County Health Department
8 Dill Street
Auburn, New York 13021-3424
Main: 315-253-1560
Fax: 315-253-1156
Chautauqua County Health Department
7 North Erie Street
Mayville, New York 14757
Main: 716-753-4788
Fax: 716-753-4794
Chemung County Social Services and Mental Hygiene Department
Human Resource Center
PO Box 588
425-447 Pennsylvania Avenue
Elmira, New York 14902-0588
Main: 607-737-5568
Fax: 607-737-5480
Chenango County Health Department
Chenango County Office Building
5 Court Street
Norwich, New York 13815
Main: 607-337-1729
Fax: 607-337-1720
Clinton County Health Department
133 Margaret Street
Plattsburgh, New York 12901
Main: 518-565-4848
Fax: 518-565-4509
Columbia County Health Department
325 Columbia Street
Hudson, New York 12534
Main: 518-828-4278, Ext. 1303/1305
Fax: 518-671-6738
Cortland County Health Department
60 Central Avenue
Cortland, New York 13045-2746
Main: 607-756-3439
Fax: 607-753-5136
Delaware County Public Health Nursing Service
99 Main Street
Delhi, New York 13753
Main: 607-832-5200
Fax: 607-832-5201
Dutchess County Health Department
85 Civic Center Plaza, Suite 106
Poughkeepsie, New York 12601
Main: 845-486-2759
Fax: 845-486-3554
TTY: 845-486-3417
Erie County Health Department
95 Franklin Street, Room 828
Buffalo, New York 14202
Main: 716-858-6161
Fax: 716-858-6892
Essex County Public Health Nursing Service
PO Box 217
132 Water Street
Elizabethtown, New York 12932-0217
Main: 518-873-3522
Fax: 518-873-3539
Franklin County Public Health Services
355 West Main Street
Malone, New York 12953
Main: 518-481-1709
Fax: 518-483-9378
Fulton County Public Health Department
PO Box 415
2714 County Highway 29
Johnstown, New York 12095-0415
Main: 518-736-5720
Fax: 518-762-1382
Genesee County Health Department
3837 West Main Street
Batavia, New York 14020-9406
Main: 585-344-2580, Ext. 5572
Fax: 585-344-4713
Greene County Public Health Nursing Service
411 Main Street, Suite 300
Catskill, New York 12414
Main: 518-719-3600
Fax: 518-719-3779
Hamilton County Public Health Nursing Service
PO Box 250
139 White Birch Lane
Indian Lake, New York 12842
Main: 518-648-6497
Fax: 518-648-6143
Herkimer County Public Health Nursing Service
301 North Washington Street, Suite 2300
Herkimer, New York 13350
Main: 315-867-1176
Fax: 315-867-1431
Jefferson County Community Services
175 Arsenal Street
Watertown, New York 13601
Main: 315-785-3283
Fax: 315-785-5182
Lewis County Public Health Agency Children Services
7785 North State Street, Suite 2
Lowville, New York 13367
Main: 315-376-5453
Fax: 315-376-7013
Livingston County Health Department
2 Murray Hill Drive
Mount Morris, New York 14510
Main: 585-243-7290
Fax: 585-243-7287
Madison County Public Health Department
PO Box 605
Public Health Building #5
Wampsville, New York 13163
Main: 315-366-2361
Fax: 315-366-2847
Monroe County Depaartment of Public Health
111 Westfall Road
Rochester, New York 14620
Main: 585-753-5437 (KIDS)
Fax: 585-753-5272
Montgomery County Public Health
PO Box 1500
Park Street County Annex Building
Fonda, New York 12068-1500
Main: 518-853-3531
Fax: 518-853-8218
Nassau County Health Department
60 Charles Lindberg Blvd., Suite 100
Uniondale, New York 11553-3683
Main: 516-227-8661
Fax: 516-227-8662
New York City Department of Health and Mental Hygiene
Gotham Center, CN # 12
42-09 28th Street, 9th Floor
Long Island City, NY 11101-4132
Phone Number in NYC Dial 311
If outside NYC: 212-639-9675
Fax: 347-396-6928
Bronx (Bronx County)
1309 Fulton Avenue, 5th Floor
Bronx, NY 10456
Phone: 718-838-6887
Fax: 718-664-2023
Brooklyn (Kings County)
16 Court Street, 2nd & 6th Floor
Brooklyn, NY 11241
Phone: 718-722-3310
Fax: 718-722-7767 or 718-722-2994
Manhattan (New York County)
42 Broadway, Suite 1611
New York, NY 10004
Phone: 212-436-0900
Fax: 212-436-0904
Queens (Queens County)
90-27 Parson Blvd.
Jamaica, New York 11432
Phone: 718-553-3954
Fax: 718-553-3997
Staten Island (Richmond County)
135 Canal Street, 2nd Floor
Staten Island, NY 10304
Phone: 718-568-2300
Fax: 718-568-2341
Niagara County Health Department
Trott Access Center
1001 11th Street
Niagara Falls, New York 14301
Main: 716-278-1991
Fax: 716-278-8288
Oneida County Health Department
185 Genesee Street
Utica, New York 13501
Main: 315-798-5249
Fax: 315-731-3491
Onondaga County Health Department
421 Montgomery Street 9-East
Syracuse, New York 13202
Main: 315-435-3230
Fax: 315-435-2678
Ontario County Community Health Services
3019 County Complex Drive
Canandaigua, New York 14424
Main: 585-396-4546
Fax: 585-396-4551
Orange County Health Department
124 Main Street
Goshen, New York 10924
Main: 845-291-2333
Fax: 845-291-2418
Orleans County Health Department
14012 Route 31 West
Albion, New York 14411
Main: 585-589-2777
Fax: 585-589-3169
Oswego County Health Department
70 Bunner Street
Oswego, New York 13126
Main: 315-349-3510
Fax: 315-349-3537
Otsego County Health Department
Meadows Office Building
140 Country Highway 33W, Suite 3
Cooperstown, New York 13326-1129
Main: 607-547-6474
Fax: 607-547-6402
Putnam County Health Department
1 Geneva Rd
Brewster, New York 10509
Main: 845-808-1640, Ext. 46031
Fax: 845-225-1580
Rensselaer County Health Department
Ned Pattison Government Center
1600 Seventh Avenue
Troy, New York 12180
Main: 518-270-2626
Fax: 518-270-2638
Rockland County Health Department
50 Sanatorium Road, Building J
Pomona, New York 10970
Main: 845-364-2620
Fax: 845-364-2093
Saratoga County Public Health Nursing Service
31 Woodlawn Avenue
Saratoga Springs, New York 12866
Main: 518-584-7460, Ext. 390
Fax: 518-583-2498
Schenectady County Public Health Services
107 Nott Terrace, Suite 306
Schenectady, New York 12308
Main: 518-386-2815
Fax: 518-386-2801
Schoharie County Health Department
PO Box 667
276 Main Street
Schoharie, New York 12157-0667
Main: 518-295-8705
Fax: 518-295-8786
Schuyler County Home Health Agency
Mill Creek Center
106 South Perry Street
Watkins Glen, New York 14891
Main: 607-535-8140
Fax: 607-535-8157
Seneca County Health Department
Health and Senior Services Bldg.
2465 Bonadent Drive, Suite 3
Waterloo, New York 13165-1660
Main: 315-539-1920
Fax: 315-539-9493
St. Lawrence County Public Health Department
80 State Highway 310, Suite 2
Canton, New York 13617
Main: 315-386-2325
Fax: 315-386-2744
Steuben County Public Health and Nursing Services
3 East Pulteney Square
Bath, New York 14810-1560
Main: 607-664-2146
Fax: 607-664-2197
Suffolk County Health Services
50 Laser Court
Hauppauge, New York 11788
Main: 631-853-3100
Fax: 631-853-2300
Sullivan County Public Health Nursing Service
PO Box 590
50 Community Lane
Liberty, New York 12754
Main: 845-292-5910
Fax: 845-513-2276
Tioga County Health Department
1062 State Route 38
PO Box 120
Owego, New York 13827-0120
Main: 607-687-8600
Fax: 607-687-8486
Tompkins County Health Department
55 Brown Road
Ithaca, New York 14850
Main: 607-274-6644
Fax: 607-274-6648
Ulster County Social Services Department
1061 Development Court
Kingston, New York 12401-1959
Main: 845-334-5251
Fax: 845-334-5227
Warren County Health Services
Warren County Municipal Center
1340 State Route 9
Lake George, New York 12845
Main: 518-761-6580
Fax: 518-761-6422
Washington County Public Health Service
415 Lower Main Street
Hudson Falls, New York 12839-2650
Main: 518-746-2400
Fax: 518-746-2410
Wayne County Public Health
1519 Nye Road, Suite 200
Lyons, New York 14489
Main: 315-946-5749
Fax: 315-946-7057
Westchester County Health Department
145 Huguenot Street, 8th Floor
New Rochelle, New York 10801
Main: 914-813-5094
Fax: 914-813-5093
Wyoming County Health Department
8 Perry Avenue
Warsaw, New York 14569
Main: 585-786-8850
Fax: 585-786-8852
Yates County Health Department
417 Liberty Street, Suite 2120
Penn Yan, New York 14527
Main: 315-536-5160
Fax: 315-536-5146