This page is for Early Steps of Southwest Florida staff and providers to access forms, policies, and other "business" related information.  As the documents come available, they will be posted on this page.

Insurance Verification Form - This form is to collect insurance information for insurance (third party) billing.  The form is in Adobe pdf and can be completed on the computer.  After opening the document, place your cursor on the Patient Name line (or other field) and tab to move to the next field.  The signatures and dates signed cannot be completed electronically - the form must be printed for signature.  To print the form, complete all the electronic fields and press the PRINT button at the top of the form.  After the form is printed, have the appropriate parties sign and date.  

 

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.

 

Provider Invoice - This form is used by provider to submit the monthly invoice to Early Steps.

Consultation Among Team Members - This form is used to document consultations between team members and a copy is submitted to Early Steps with the monthly invoice.