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Provider Enrollment Forms

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All forms needed for the following First Steps provider types:


Specialists 

Includes: ABA Consultant, Assistive Technology Provider, Audiologist, Counselor, Dietician, Interpreter, Nurse (RN and LPN), Occupational Therapist, Optometrist, Ophthalmologist, Orientation and Mobility Specialist, Physical Therapist, Physician, Psychologist, Special Instructor, Speech/Language Pathologist, Social Worker, Translator, and Transportation Provider

All required forms for new providers (Specialists) enrolling in Missouri First Steps are listed below:

Providers Requiring Supervision

Includes: ABA Implementer, Occupational Therapy Assistant (COTA), Paraprofessional, Physical Therapist Assistant (PTA), and Speech/Language Pathology Assistant (SLPA)

All required forms for new providers requiring supervision and enrolling in Missouri First Steps are listed below:

Parents/Family Members

All required forms for new family members who enroll in Missouri First Steps to provide transportation are listed below: