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Adult Protective Services

TitleTypeFormatSize 
APS Brochurepdf2 MB
DHHS AS 0008 Initial Notice to DA or LE Elecdocx43 KB
DHHS-AS-0001 Adult Protective Services Intakedocx75 KB
DHHS-AS-0002 Notice to Reporter Elec 3.2024docx30 KB
DHHS-AS-0003 Adult Services Notice to Administrator Elec 2024docx32 KB
DHHS-AS-0004 Notice to Reporter of Completion of Evaluation Elec 2024docx32 KB
DHHS-AS-0005 Community Evaluation 2024pdf1 MB
DHHS-AS-0005 Community Evaluation HW 2024docx103 KB
DHHS-AS-0006 Facility Evaluation HW 2024pdf375 KB
DHHS-AS-0006_Facility_Evaluation_Elec_2024docx138 KB
DHHS-AS-0007_Diligent_Efforts_Elec_2024docx44 KB
DHHS-AS-0007_Diligent_Efforts_HW_2024docx32 KB
DHHS-AS-0009 Written Report of APS Evaluation Elec 3.2024pdf187 KB
DHHS-AS-0009 Written Report of APS Evaluation HW 3.2024docx35 KB
DHHS-AS-0010 APS Notice to Financial Customer Elecdocx39 KB
DHHS-AS-0011 Adult and Family Service Plan HWdocx44 KB
DHHS-AS-0011_Adult_and_Family_Service_Plan _Elecdocx48 KB
DHHS-AS-0013 Determination of Ability to Consent 2024pdf205 KB
DHHS-AS-0013 Determination of Ability to Consent HW 3.2024docx34 KB
DHHS-AS-0014 Notice of Request for Record for Adult Protective Services Eval. Elecdocx25 KB
DHHS-AS-0015 Consent for Financial Records HWdocx42 KB
DHHS-AS-0016 Consent for Release of Information HWdocx38 KB
DHHS-AS-5026 Formxlsx70 KB
DHHS-AS-6219 Adult Services Face Sheet 3 2024docx25 KB
DHHS-AS-6219 Adult Services Face Sheet Elec 3.2024docx35 KB
DHHS-AS-6220 Annual Services Functional Assessment Elec 2024doc310 KB
DHHS-AS-6220-Annual Services Functional Assessment HWdoc210 KB
DHHS-AS-6222 Adult Service Contact Activity Log HW 2024docx17 KB
DHHS-AS-6222 Adult Services Contact Activity Log Elec 2024docx26 KB
DHHS-AS-6223 Interim or Quarterly Review Elec 2024pdf110 KB
DHHS-AS-6223 Interim or Quarterly Review HW 2024docx26 KB
DHHS-AS-6224 Adult Services Annual Assessment Elec 3 2024docx67 KB
DHHS-AS-6224 Adult Services Annual Assessment_HW_3_2024docx56 KB
DHHS-AS-6225 Case Closing Summary Elec 3.2024docx30 KB
DHHS-AS-6225 Case Closing Summary HW 3 2024docx24 KB
DHHS-AS-Request 5337 VA Request Templatepdf326 KB
DSS_5027_SIS_Client_Entry_Formpdf1,014 KB