NCDHHS Policies and Manuals

NCDHHS Policies and Manuals > Divisional N-Z > Social Services > Adult Services > Adult Protective Services

Adult Protective Services

Forms

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Title	Type	Format	Size
APS Brochure	Form	pdf	2 MB	Open Preview
DHHS AS 0008 Initial Notice to DA or LE Elec	Form	docx	43 KB	Open Preview
DHHS-AS-0001 Adult Protective Services Intake	Form	docx	75 KB	Open Preview
DHHS-AS-0002 Notice to Reporter Elec 3.2024	Form	docx	30 KB	Open Preview
DHHS-AS-0003 Adult Services Notice to Administrator Elec 2024	Form	docx	32 KB	Open Preview
DHHS-AS-0004 Notice to Reporter of Completion of Evaluation Elec 2024	Form	docx	32 KB	Open Preview
DHHS-AS-0005 Community Evaluation HW 2024	Form	docx	103 KB	Open Preview
DHHS-AS-0005_Community Evaluation Elec.2024	Form	pdf	6 MB	Open Preview
DHHS-AS-0006 Facility Evaluation HW 2024	Form	pdf	375 KB	Open Preview
DHHS-AS-0006_Facility_Evaluation_Elec_2024	Form	docx	138 KB	Open Preview
DHHS-AS-0007_Diligent_Efforts_Elec_2024	Form	docx	44 KB	Open Preview
DHHS-AS-0007_Diligent_Efforts_HW_2024	Form	docx	32 KB	Open Preview
DHHS-AS-0009 Written Report of APS Evaluation Elec 3.2024	Form	pdf	187 KB	Open Preview
DHHS-AS-0009 Written Report of APS Evaluation HW 3.2024	Form	docx	35 KB	Open Preview
DHHS-AS-0010 APS Notice to Financial Customer Elec	Form	docx	39 KB	Open Preview
DHHS-AS-0011 Adult and Family Service Plan HW	Form	docx	44 KB	Open Preview
DHHS-AS-0011_Adult_and_Family_Service_Plan _Elec	Form	docx	48 KB	Open Preview
DHHS-AS-0013 Determination of Ability to Consent 2024	Form	pdf	205 KB	Open Preview
DHHS-AS-0013 Determination of Ability to Consent HW 3.2024	Form	docx	34 KB	Open Preview
DHHS-AS-0014 Notice of Request for Record for Adult Protective Services Eval. Elec	Form	docx	25 KB	Open Preview
DHHS-AS-0015 Consent for Financial Records HW	Form	docx	42 KB	Open Preview
DHHS-AS-0016 Consent for Release of Information HW	Form	docx	38 KB	Open Preview
DHHS-AS-5026 Form	Form	xlsx	70 KB	Open Preview
DHHS-AS-6219 Adult Services Face Sheet 3 2024	Form	docx	25 KB	Open Preview
DHHS-AS-6219 Adult Services Face Sheet Elec 3.2024	Form	docx	35 KB	Open Preview
DHHS-AS-6220 Annual Services Functional Assessment Elec 2024	Form	doc	310 KB	Open Preview
DHHS-AS-6220-Annual Services Functional Assessment HW	Form	doc	210 KB	Open Preview
DHHS-AS-6222 Adult Service Contact Activity Log HW 2024	Form	docx	17 KB	Open Preview
DHHS-AS-6222 Adult Services Contact Activity Log Elec 2024	Form	docx	26 KB	Open Preview
DHHS-AS-6223 Interim or Quarterly Review Elec 2024	Form	pdf	110 KB	Open Preview
DHHS-AS-6223 Interim or Quarterly Review HW 2024	Form	docx	26 KB	Open Preview
DHHS-AS-6224 Adult Services Annual Assessment Elec 3 2024	Form	docx	67 KB	Open Preview
DHHS-AS-6224 Adult Services Annual Assessment_HW_3_2024	Form	docx	56 KB	Open Preview
DHHS-AS-6226 Case Closing Summary Elec 3.2024	Form	docx	26 KB	Open Preview
DHHS-AS-6226 Case Closing Summary HW 3 2024	Form	docx	21 KB	Open Preview
DHHS-AS-Request 5337 VA Request Template	Form	pdf	183 KB	Open Preview
DSS_5027_SIS_Client_Entry_Form	Form	pdf	1,014 KB	Open Preview

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37 documents

Manuals

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Title	Type	Format	Size
Adult Protective Services Manual	Manual	pdf	1 MB	Open Preview
Adult Protective Services Register (APS-R ) User’s Manual	Manual	pdf	291 KB	Open Preview

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2 documents