Outside Provider Application (To be completed by referred applicants ONLY)

Outside Services Provider An Outside Service Provider delivers behavioral, mental health, or medical services to students in the school setting. Their role is to support the student according to their Individual Treatment Plan (ITP), which must be approved by the student's Educational Team. Providers collaborate with school staff to ensure services align with educational goals. Examples of Outside Providers include a nurse, OT/PT, behavior therapist, speech therapist, outside counselor, etc. who provide services to a student in Northampton Area School District. Student safety is always our top priority and we use Frontline to streamline this thorough state-required approval process. The three steps for approval of an outside provider include Complete online application, attach proof of all current required clearances, andcomplete/sign our District confidentiality agreement. Once your complete application is submitted, the Assistant Superintendent will review it. Upon approval, all parties (parent, District staff, etc.) will be notified by email. If you have any questions about this procedure, please contact Melissa Pany.