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Preschool Special Education Forms

The Parent Consent Form asks the parent/guardian permission (consent) to bill your or your child’s Medicaid Insurance Program for any special education and related services that are on your child’s Individualized Education Program (IEP).  This consent allows Dutchess County Preschool Special Education Program or your school district to bill for covered health related services such as Occupational Therapy, Physical Therapy, Speech Therapy, or Counseling and Training and to release information to the County or school district’s Medicaid Billing Agent for that purpose.

Medicaid Consent