1841 Broadway, Suite 507
New York, NY 10023
Ph# 212-757-3551
Fax# 212-757-3559
320 East 65th Street, Suite # 117
New York, NY 10065
Ph# 212-249-2588
Fax# 212-249-2594
150 W. 92nd. Street, Suite # BB
New York, NY 10025
Ph# 212-595-1705
Fax# 212-595-1706
_________________________________________________________________________________
Summer Scheduling Information
The time has come to begin scheduling therapy sessions for the summer. It is important that you read
the information below and fill out the entire request form.
There will be a new schedule for July and August for all children. If your child is in Early
Intervention, his/her mandate will remain the same. If your child comes to Making Milestones through
the Board of Education, he/she is either mandated for 10 or 12 months of service. Children with a 10
month mandate will end services at the end of June and will resume services in September (in June we
will begin scheduling for the Fall). Children with a 12 month mandate will be able to receive services
for 6 weeks (July 5 – Aug 12). This information (10 or 12 months) is found on the IEP. August 15th –
September 1st will we reserved for make ups, EI clients, and private paying clients.
Board of Ed clients, please confirm that your child is approved for 12 months. *Please attach to
the scheduling request a copy of your child’s IEP that shows the approval for 12 months of service
(for CSPE and CSE only). We will not begin services without a copy of this IEP.
If your child is approved for 10 months but you are requesting 12 months, we will accept your
request form but we will not schedule your child until a meeting with your administrator has been
scheduled.
*CSE children must have a new RSA for the summer. Services will not begin until the RSA has been
submitted to Making Milestones. Sessions will be scheduled as the services are mandated (ie. 2x30 has
to be provided on 2 separate days). We will not be able to combine mandates (ie. Provide a 60 minute
session for a 2x30 mandate).
When scheduling sessions, we will do our best to schedule your child within the time frame that you
have requested. Keep in mind that we have many children to schedule, so please be as flexible as
possible and give all of the possible times that he/she has available. There is no guarantee that your child
will have the same therapist that he/she had during the school year.
We might be able to provide services in your home, so please indicate this as a request. We will do our
best to accommodate your request if we can.
Please fill out the request form and return to Making Milestones by May 13th. We expect to have the
schedule completed by mid June. We will confirm your child’s schedule with you before we begin on
Tuesday, July 5th.
320 East 65th Street, Suite # 117
New York, NY 10065
Ph# 212-249-2588
Fax# 212-249-2594
1841 Broadway, Suite 507
New York, NY 10023
Ph# 212-757-3551
Fax# 212-757-3559
150 W. 92nd. Street, Suite # BB
New York, NY 10025
Ph# 212-595-1705
Fax# 212-595-1706
Summer Scheduling Request Form
Child’s Name: _____________________________________________ DOB __________________
Parent’s Name: _____________________________ Email Address: ___________________________
Phone #s (h) ____________________________ © ________________________________________
Home address: ______________________________________________________________________
Circle one: CPSE / CSE / EI / Private
BOE NYC ID # ______________________________
Board of Education clients:
CPSE administrator (if applicable); circle one: Ellen / Fran / Rosemary / Chantal / Jose / Mary Jo / Dr Walsh,
Milta, other__________
* We will only be able to schedule according to the exact mandate. Mandates cannot be combined (ie. 1 hour instead of
2x30). Please list the services that will take place through Making Milestones:
Mandate: (example… OT 2x45)
OT____________________________
PT____________________________
Speech Individual_______________
Speech Group __________________
OFFICE USE ONLY:
______ M
______ 12 ______ S ______ C
*Requested Location of services (circle one): UES (E 65th) / UWS (W 92nd) / Columbus Circle (60th & Bdwy) / Home
Camp schedule (dates and times): ____________________________________________________________________
Please indicate below ALL of the possible times that your child might be scheduled for services at M.M. We will not be able
to accommodate specific times, you must give blocks of time to allow flexibility.
*(example: “any day after 2:00” – which means a session could be scheduled at 2:00)
Monday (8:30-7:00)
Tuesday (8:30-7:00)
Wednesday (8:30-7:00)
Thursday (8:30-7:00) Closed Fridays
AM
PM
If your child is unable to attend services in the gym due to a camp schedule, we might be able to accommodate him/her in
your home or at his/her camp during the day. Indicate this below if you are interested in this possibility.
____ Home
____ Camp (Location of camp ___________________________________________________________)