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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
| PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
| PPP-1122B | Limited English Proficiency (LEP) Flyer | 08/01/2020 |
| PPP-1122A | Limited English Proficiency (LEP) Poster (English) | 08/01/2020 |
| PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 05/01/2018 |
| PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
| POX-248A- Swahili | Americans with Disabilities Act Grievance Notice - Lobby (Swahili) | 07/01/2020 |
| POX-248A- Kinyarwanda | Americans with Disabilities Act Grievance Notice - Lobby (Kinyarwanda) | 07/01/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
| DDD-2201A | Clinical Practice Guidelines (English) | 01/01/2024 |
| DDD-2176A-S | Residency Agreement (Spanish) | 03/01/2023 |
| DDD-2176A | Residency Agreement (English) | 03/01/2023 |
| DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
| DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
| DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
| DDD-2149A | Authorization to Release Records | 08/01/2022 |
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Arizona State Resources
Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification
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