You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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Number |
Name | Effective Date |
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DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
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DDD-2154A | General Admission DDD Volunteerism Community Fair | 01/01/2023 |
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DDD-2154A-S | Entrada general a la Feria Comunitaria del Voluntariado de la DDD | 01/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2176A | Residency Agreement (English) | 03/01/2023 |
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DDD-2176A-S | Residency Agreement (Spanish) | 03/01/2023 |
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DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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RSA-1298A | Referral Form (English) | 02/01/2021 |
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RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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RSA-1298A-S | Referral Form (Spanish) | 04/01/2019 |
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RSA-1298A-S-LP | Referral Form - Large Print (Spanish) | 04/01/2019 |
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RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
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RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
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RSA-1298B-S | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas | 01/01/2023 |
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RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
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RSA-1305A | Pre-Employment Transition Services Request Form for Students with Disabilities (English) | 03/01/2023 |
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RSA-1305A-S | Pre-Employment Transition Services Request Form for Students with Disabilities (Spanish) | 03/01/2023 |
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