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The following forms are to be submitted with the intial provider interview with the RRDC:  

 

 Please click on the links below:

 

Provider Process

 

Provider Checklist

 

Provider Checklist  (for Assitive Technology and Environmental Modifications)

 

Employee Varification of Qualifications

 

Approved Rates

 

Provider Agreement

 

eMedNY 0263 Form

 

Provider Location Sheet