You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
GCI-1021A-S | Plan Individualizado de Servicio Familiar - Paquete | 04/01/2022 |
GCI-1021C | Child Indicators Summary | 03/01/2019 |
GCI-1021C-S | Resumen de los Indicadores del Niño/a | 03/01/2019 |
GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
GCI-1021G-J | Individualized Family Service Plan (Addendum) - Packet | 12/01/2018 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1038B-S | Consentimiento para Evaluación - Aviso Previo por Escrito | 02/01/2020 |
GCI-1039A | Consent to Obtain Information | 05/01/2020 |
GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
GCI-1040A | Consent to Share Early Intervention Records and Information (English) | 07/01/2024 |
GCI-1040A-S | Consent to Share Early Intervention Records and Information (Spanish) | 07/01/2024 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
GCI-1042A | Family Survey | 07/01/2020 |
GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
GCI-1043A | Developmental Evaluation Report | 04/01/2023 |
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