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A CHILD 5

A CHILD 5

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Published by winona mae marzocco
CPS corruption in house file 5
CPS corruption in house file 5

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Published by: winona mae marzocco on Dec 18, 2011
Copyright:Attribution Non-commercial

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05/26/2012

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MENTAL HEALTH CLINICS (cont)
Family
Counseling Service:
-
Shirley
399-9217
464-10
William
Floyd Parkway, Shirley,NY,11967Hampton Bays
728-7232
154-5 Montauk
Highway,
Hampton Bays, NY,
11946Farmingville
Mental
HealthCenter..
854-2552
15
Horseblock
PLFarmingville,
NY,
11738
Family
Service
League:
East
Hampton Center
324-3344
66
Newtown Lane, East Hampton,
NY,
11937
Hampton
Bays Center
723-2316
225 West Montauk Highway, Suite 4, Hampton Bays, NY,
11946
Mattituck
Center
298-8642
755
Main Road, Mattituck, NY,
11952
Family
Wellness Center (FREE)
851-3810
120 Plant Avenue, Hauppauge,
NY,
11788
PEGS
Mental Health
Centers:Long
Island Call Center1-(516)
364-0794
Center Moriches Center
874-2700
220
Main Street, Center
Moriches,
NY,
11934Central
Islip
234-7807
115
Carleton Avenue, Central
Islip,
NY, 11722Madonna Heights Services
643-8800
151
Burrs Lane, Dix Hills, NY,
11746
14
 
JUST
KIDS
Early
Childhood
Learning Center
Steve
H.:ld
Executive D
ireetor
Sreplten
Cordon
Director
Cathy
Cianfirano
Director
ol
Chi|dn.-n's
Services
Middle
Island
P.O. Box 12,
longw
ood
RoadVliddte
bland,
NY
LI
953
631)924-0008
Phone
631)924-1243
Fax
,indcnhurst
;87
Keljum Stree-
.indenhurst,
NY
1757
531)
884-3000 Phone531)
884-1959
Fax
jvcrhcad
40
East MainStreet
iverhead,
NYH'901
131}
3694927
Phone
131)
369-1957
Fa:.:
Illiaffl
Floyd
1
Lexington
Road
urley,
NY
11967
31)281-6300
Phone
31)
281-6096
Fax
:
hereby
give
consent
to
have
my
child,
W
j1
fjDfifl.
rI
^>U
*Q
»^
<valuated
by
Just Kids
in the
following
area(s)
and
with
the
1ollowing
measures:
,
Speech/Language Evaluation
(
-7
( )
( )
(
)
( )
(
)
( )
( )
Preschool
Language
Scale
- 4
(PLS-4)
Clinical
Evaluation
of
Language
Fundamental)? -
Preschool
(CELF-P)
Goldman-FristoeTest
of
Articulation
- 2
(GFTA-2)Kahn-Lewis Phonological Analysis
-
2
(KLPA-2)
Receptive-Expressive
Emergent
Language Scale - 2 (REEL-2)Expressive One-Word Picture Vocabulary Test
-
Revised (EOWPVT-R)
Receptive One-Word
Picture Vocabulary Test
-
Revised
(ROWPVT-R)Rossetti
Infant/toddler Language Scale
Oral Motor
Eating Evaluation (Morris)
Oral-Peripheral
Examination
an'juage
SampleFruiting'sStagesforAcquisitionofPragmatics
Wesi:by
Symbolic
Play
ScaleStutteringPrediction Instrument
(SPI)
Audiolcgical
I
have
been informed about
the
purpose
of the
evaluation
and
tie.
methods
to be
used.
I
have received
my Due
Process
Rj
g-hts.
Date
) I do not
consent
to the
evaluation(s) requested
above
Paient
Signature
(cisp)
 
Stive
Hd<tExecutive
kqpbtn Gor&tt
Dinatu
Cadty
Director
of
Children
1
!;
Service*
Middle
Island
Long wood
F.oad
P.O.
Box
12
Middle
Island,
NY
11953
(631)
924-OClOg
Phone
(631)924-1243
Fu*
Luideohurst
88?
KeUvuti
Street
Uodcnhurst,
NY
11757
(631)
884-3000 Phone
(631)
864-1959
Fax
Riverhead
555
East
Mam
Street
Riverhead,
NY
11901
(631)
369-1927
Phoria(631)369-1957
Fax
William
Floyd
99
Laxingtor; Road
Shirley,
NY
11967
(fi31)2Bl-6BCOPhonf.'
(631)
281-6096
Fa>:
Early
Childhood Learning
Center
I
hereby
give
consent
to
have
my
child,
W
I
Y\
V\*
f1<^1
CI
If
valuollo
(
./;
Psychological Evaluation:
evaluated by Just Kids in the following
area(s)
and with the
4
following-
measures;
( )
J
Bayley
Scales
of
infant
Development:
Third Edition
(BfilD:
Il'I)
'WechslerPreschool and. Primary Scale
of
Intelligence-Third,Edition (WPPS1-III)
Stanford-Bins!:
Intelligence Scale; Fifth
.Edition
(SBIS:V)
i/ineland
Adaptive Behavior Scales; Second Edition
(VABS;I1)
Conner's
Rating Scale
(CTR.S,
GPRS)
- - •-
Achenbach Child Behavior
Checklist
(CBCL)Aehenbach
Caregiver-TeacherP.eport Form (CTRF)
Childhood
Autism
Rating
Scale
(CARS)
cjilliam
Autism Rating Scale (GARS)
Behavioral
Assessment
System
for
Children (BASC)
Other
(
)
Educational Evaluation:
(
)
Michigan
Early Intervention
Developmental
Profile
(EIDP)
(
)
Early
Learning
Accomplishment
Profile
(SLAP)
(
)
Bracken
Basic
Concept
Scale
-
Revised
(
)
Peveiopmental
Assessment
of
Young
Children
(-DAYC)
(
)
Brigance -Inventory
of
Early
Development
-
Revised
(
)
Mullen
Scales
of
Early Learning
(MSEL)
(
)
Audiological
(
-w^
Social
History
I
havebeeninformed about
the
purpose
of the
evaluation
and
zhe
methodsto beused.Ihave receivedmy DueProcess
lights,
,
c
Date
)
I do
r.ot
consentto theevaluation(s) requested
above.
Parent Signature
c
fpsyed
Date

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