You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-2104A | Member Interdisciplinary Team Summary | 07/01/2021 |
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DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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DDD-2235A | Member Consent for the Use of Electronic Monitoring Devices Installed in Group Homes (English) | 09/01/2023 |
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CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
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AAA-1346A | Medical Need Verification | 12/01/2022 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
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DDD-1551A-Flyer | Medallion Program Flyer (English/Spanish) | 10/01/2019 |
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DDD-1551A-S | Medallion Program - Order Form (Spanish) | 09/01/2024 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
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DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
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PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
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PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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FAA-0060A | Authority to Release Student Information (English) | 05/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
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