You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
FAA-1725A | Verification of Other Income | 05/01/2023 |
CSE-1061A | Establishing Paternity | 05/01/2023 |
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking | 06/01/2020 |
GCI-1088A | Child and Family Assessment Guide for Families (Accessible) | 06/01/2020 |
GCI-1084A-S | Seguimiento de la Revisión Auditiva | 06/01/2020 |
GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
GCI-1082A-S | Consentimiento para Evaluación - Notificación Previa por Escrito | 06/01/2020 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
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