UDO/USO Documents (All Full-Service Medicaid Counties)


Dutchess County
Dutchess County UDO Accessibility Certification Form for OT/PT:  click here
Dutchess County UDO Accessibility Certification Form for Speech:  click here

Livingston County
UDO Accessibility Form - OT/PT:  click here
UDO Log for OT/PT:  click here
UDO Accessibility Form - Speech:  click here
UDO Log for Speech:  click here

Nassau County
UDO Forms & Instructions (OT/PT/ST):  click here
USO Forms & Instructions (Psychological Counseling): click here
UDO Nursing Forms & Instructions:  click here

Rockland County
UDO Accessibility Form - OT/PT:  click here
UDO Log for OT/PT:  click here
UDO Accessibility Form - Speech:  click here
UDO Log for Speech: click here

Sullivan County
    UDO Accessibility Form and UDO Log - OT/PT:  click here
    UDO Accessibility Form and UDO Log - Speech:  click here

Ulster County
UDO Accessibility Form - OT/PT:  click here
UDO Log for OT/PT:  click here
UDO Accessibility Form - Speech:  click here
UDO Log for Speech:  click here
USO Accessibility Form - Psychological Counseling:  click here
USO Log for Psychological Counseling:  click here

Westchester County
UDO Accessibility Form - Speech:  click here
UDO Child Log - Speech:  click here
UDO Accessibility Form - OT/PT:  click here
UDO Child Log - OT/PT:  click here
UDO Accessibility Form - Psychological Counseling:  click here
UDO Child Log - Psychological Counseling:  click here
UDO Accessibility Form - Skilled Nursing:  click here
UDO Log - Skilled Nursing:  click here