Documents
Displaying 31 - 40 of 84
DD Resource Fair Fall 2023 (English)(Link downloads document) (PDF 156.95 KB)
English flyer for DD Resource Fair, Fall 2023
Developmental Disabilities
Health History and Physician Statement(Link downloads document) (PDF 345.98 KB)
Health History and Physician/Nurse Practitioner’s Statement for adult foster home
Developmental Disabilities
Floor Plan Guidelines(Link downloads document) (PDF 44.63 KB)
Floor plan guidelines for adult foster home
Developmental Disabilities
List of References2.pdf(Link downloads document) (PDF 45.61 KB)
List of references for adult foster home application
Developmental Disabilities
AFH Financial Information(Link downloads document) (PDF 230.34 KB)
Financial information for adult foster home application
Developmental Disabilities
Consent for Release of Information(Link downloads document) (PDF 320.36 KB)
Consent for Release of Information for adult foster home application
Developmental Disabilities
Plan of Daily Operation(Link downloads document) (PDF 153.21 KB)
plan of daily operation for adult foster homes
Developmental Disabilities
Foster Home Medicaid Provider Enrollment Agreement (PEA)(Link downloads document) (PDF 726.68 KB)
Foster Home Medicaid Provider Enrollment Agreement (PEA) for developmental disabilities
Developmental Disabilities
PEA Instruction Sheet(Link downloads document) (PDF 118 KB)
Instructions for completing the Foster Home Medicaid Provider Enrollment Agreement (PEA)
Developmental Disabilities
Application Instruction Sheet(Link downloads document) (PDF 105.29 KB)
Instructions for completing the adult foster home application
Developmental Disabilities