You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2104A | Member Interdisciplinary Team Summary | 07/01/2021 |
|
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
|
DDD-2235A | Member Consent for the Use of Electronic Monitoring Devices Installed in Group Homes (English) | 09/01/2023 |
|
CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
|
CCA-0039A | Medical Statement (English) | 12/01/2022 |
|
AAA-1346A | Medical Need Verification | 12/01/2022 |
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
|
DDD-1551A-Flyer | Medallion Program Flyer (English/Spanish) | 10/01/2019 |
|
DDD-1551A-S | Medallion Program - Order Form (Spanish) | 09/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
|
RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
|
RSA-1365A-S | Autorización/Consentimiento Para Divulgación y Uso de Información Confidencial Entre DDD y RSA | 03/01/2019 |
|
CCA-1175A-S | Autorización Para Operar un Servicio de Cuidado de Niños | 04/01/2023 |
|
GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
|
DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
|
APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
|
RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
|
RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
|
RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
Stay up-to-date with news and updates delivered straight to your inbox
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