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Download | Number | Form Name | Effective Date | |
---|---|---|---|---|
Download (111 KB) | CSO-1033A | Independent Living Subsidy Program Agreement and Approval | 06/01/2017 | |
Download (120.97 KB) | CSO-1079B | Adoption Subsidy Rate Evaluation | 08/01/2018 | |
Download (119.99 KB) | CSO-1079B-S | Adoption Subsidy Rate Evaluation (Spanish) | 08/01/2018 | |
Download (64.69 KB) | CSO-1238A | Appeal Hearing Request License Denial Suspension or Revocation | 01/01/2019 | |
Download (88.6 KB) | CMDP-1781 | Understanding Cultural Competency in Health Care (CMDP) | 08/01/2018 | |
Download (77.78 KB) | CSO-1719 | Initial Application Worksheet (For residential group care licensed under AAC title 6 chapter 5 article 74) | 07/01/2019 | |
Download (43.03 KB) | CSO-1575 | Immunization Exception for License Amendment | 03/01/2018 | |
Download (40.5 KB) | DCS-1041A | HIPAA Privacy Complaint Confirmation of Receipt | 08/01/2014 | |
Download (49 KB) | DCS-1044A | Authorization for Disclosure of Protected Health Information | 08/01/2014 | |
Download (43.5 KB) | DCS-1041A-S | HIPAA Privacy Complaint Confirmation of Receipt (Spanish) | 08/01/2014 |
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