You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 07/01/2024 |
ESA-1349A | Migrant and Seasonal Farmworker Orientation (English) | 07/01/2024 |
ESA-1357A | Migrant and Seasonal Farmworker (MSFW) Recall Program | 08/01/2020 |
FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
FAA-1714A | Mid Approval Contact - Lobby (English) | 07/01/2023 |
DDD-1742A | Metabolic Low Protein Foods Ordering Form Vendor- Dietary Specialties Groceries (English) | 04/01/2023 |
DDD-1742C | Metabolic Low Protein Foods Ordering Form Vendor - PKU Perspectives (English) | 04/01/2023 |
DDD-1742B | Metabolic Low Protein Foods Ordering Form Vendor - Nutricia North America (English) | 04/01/2023 |
DDD-1742D | Metabolic Low Protein Foods Ordering Form Vendor - Ener-G Foods, Inc (English) | 04/01/2023 |
DDD-1742E | Metabolic Low Protein Foods Ordering Form Vendor - Cambrooke Foods (English) | 04/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
APS-1032A | Authorization to Release Non-HIPAA Information Form (English) | 08/01/2023 |
DES-1059A | Authorization to Release Information (English/Spanish) | 09/01/2018 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
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