Maryland Online IFSP

Name	Active Cases (as coordinator)	Service Hours (per week as provider)	Agency	Actions
Name	Active Cases (as coordinator)	Service Hours (per week as provider)	Agency	Actions
Allen, Lisa	25	110.53	FCDC	Assign
Best, Carolyn	16	2.25	FCDC	Assign
Cowper, Louis	8	150	FCDC	Assign

Type

* Service Added (IFSP Mtg Date)

* Type of Service

* Please Specify

* Intensity

Frequency

* Number of Sessions

* Please Specify

* Frequency

* Minutes Per Session

* Please Specify

Provider

Service Provider

This provider has an IFSP user account

Select from a list

Name of Service Provider

Name of Provider Agency

Enter service provider information manually

Provider Agency Record the name of the agency providing the service. Use standard text designated within each jurisdiction.

Provider Name Record the name of the individual providing the service

Provider Phone Enter numbers only

Primary Service Provider

Provider is the Primary Service Provider (PSP)

Discussion

Discussion of Early Intervention Service Delivery

Service Conclusion

Actual Service End Date

Comment

Add comments to edits made in this session for Version History tracking (optional) Add comments to edits Briefly describe edits made within this session Add comments to edits made in this session for Version History tracking (optional)

Jasfer May at risk eligible new child

IV. Our Early Intervention Supports & Services:
Early Intervention Services

Type

Frequency

Setting

Service Initiation

Provider

Discussion

Service Conclusion

Comment

Jasfer May at risk eligible new child

IV. Our Early Intervention Supports & Services: Early Intervention Services

Type

Frequency

Setting

Service Initiation

Provider

Discussion

Service Conclusion

view_day Comment

IV. Our Early Intervention Supports & Services:
Early Intervention Services

Comment