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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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- 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.
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| Download | Number |
Name |
Effective Date |
|---|---|---|---|
|
GCI-1148A | Directory of Early Intervention Programs | 10/01/2022 |
|
GCI-1070A-S | Derechos del Menor y la Familia bajo el Programa de Intervención Temprana de Arizona (AzEIP) | 10/01/2022 |
|
GCI-1083AS | Consentimiento para la Evaluación del Niño | 08/01/2020 |
|
GCI-1082A-S | Consentimiento para Evaluación - Notificación Previa por Escrito | 06/01/2020 |
|
GCI-1038B-S | Consentimiento para Evaluación - Aviso Previo por Escrito | 02/01/2020 |
|
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 09/01/2019 |
|
GCI-1040A | Consent to Share Early Intervention Records and Information | 08/01/2022 |
|
GCI-1039A | Consent to Obtain Information | 05/01/2020 |
|
GCI-1041A | Consent to Bill Health Insurance | 09/01/2019 |
|
GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
GCI-1059AS | Carta de No poder hacer el trámite | 08/01/2020 |
|
GCI-1143A | AzEIP Transition Timeline | 06/01/2022 |
|
GCI-1112A | AzEIP Transfer File Checklist | 03/01/2019 |
|
GCI-1097A | AzEIP Quarterly Progress Report | 10/01/2010 |
|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
|
GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
|
GCI-1040A-S | Autorización para Compartir Registros e Información de Intervención Temprana | 08/01/2022 |
|
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
|
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
|
GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form | 06/01/2020 |
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