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Adult Protective Services

TitleCategoriesTypeFormatSizeLink
APS Brochure, pdf2 MB
DHHS AS 0008 Initial Notice to DA or LE Elec, docx43 KB
DHHS-AS-0001 Adult Protective Services Intake, , docx75 KB
DHHS-AS-0002 Notice to Reporter Elec 3.2024, docx30 KB
DHHS-AS-0003 Adult Services Notice to Administrator Elec 2024, docx32 KB
DHHS-AS-0004 Notice to Reporter of Completion of Evaluation Elec 2024, docx32 KB
DHHS-AS-0005 Community Evaluation HW 2024, , docx103 KB
DHHS-AS-0005_Community Evaluation Elec.2024, , , , pdf6 MB
DHHS-AS-0006 Facility Evaluation HW 2024, , pdf375 KB
DHHS-AS-0006_Facility_Evaluation_Elec_2024, docx138 KB
DHHS-AS-0007_Diligent_Efforts_Elec_2024, docx44 KB
DHHS-AS-0007_Diligent_Efforts_HW_2024, docx32 KB
DHHS-AS-0009 Written Report of APS Evaluation Elec 3.2024, pdf187 KB
DHHS-AS-0009 Written Report of APS Evaluation HW 3.2024, docx35 KB
DHHS-AS-0010 APS Notice to Financial Customer Elec, docx39 KB
DHHS-AS-0011 Adult and Family Service Plan HW, , , docx44 KB
DHHS-AS-0011_Adult_and_Family_Service_Plan _Elec, , , docx48 KB
DHHS-AS-0013 Determination of Ability to Consent 2024, pdf205 KB
DHHS-AS-0013 Determination of Ability to Consent HW 3.2024, docx34 KB
DHHS-AS-0014 Notice of Request for Record for Adult Protective Services Eval. Elec, docx25 KB
DHHS-AS-0015 Consent for Financial Records HW, docx42 KB
DHHS-AS-0016 Consent for Release of Information HW, , , docx38 KB
DHHS-AS-5026 Form, , xlsx70 KB
DHHS-AS-6219 Adult Services Face Sheet 3 2024, , , docx25 KB
DHHS-AS-6219 Adult Services Face Sheet Elec 3.2024, , , docx35 KB
DHHS-AS-6220 Annual Services Functional Assessment Elec 2024, , doc310 KB
DHHS-AS-6220-Annual Services Functional Assessment HW, , doc210 KB
DHHS-AS-6222 Adult Service Contact Activity Log HW 2024, , , , docx17 KB
DHHS-AS-6222 Adult Services Contact Activity Log Elec 2024, , , , docx26 KB
DHHS-AS-6223 Interim or Quarterly Review Elec 2024, , , pdf110 KB
DHHS-AS-6223 Interim or Quarterly Review HW 2024, , , docx26 KB
DHHS-AS-6224 Adult Services Annual Assessment Elec 3 2024, , docx67 KB
DHHS-AS-6224 Adult Services Annual Assessment_HW_3_2024, , docx56 KB
DHHS-AS-6226 Case Closing Summary Elec 3.2024, , , , docx26 KB
DHHS-AS-6226 Case Closing Summary HW 3 2024, , , , docx21 KB
DHHS-AS-Request 5337 VA Request Template, , pdf183 KB
DSS_5027_SIS_Client_Entry_Form, , , , pdf1,014 KB