Adult Services Forms
- Appeal to DARS: Home-based Services and Adult Foster Care – English
- Application for Adult Services – English
- Application for Adult Services-Amharic
- Application for Adult Services-Arabic
- Application for Adult Services-Chinese
- Application for Adult Services-Korean
- Application for Adult Services-Persian
- Application for Adult Services-Spanish
- Application for Adult Services-Tagalog
- Application for Adult Services-Urdu
- Application for Adult Services-Vietnamese
- Application for Department Approved Provider
- Assisted Living Facility Level of Care Worksheet
- Consent to Exchange Information – English
- Eligibility Communication Document
- Interagency Consent to Release Confidential Information for Drug and Alcohol Patients
- Medicaid Funded Long-Term Care Service Authorization
- Report of Guardian for an Incapacitated Person
- Tuberculosis Statement
- Uniform Assessment Instrument (UAI)
Adult Services Manuals
- Chapter 1 – Introduction
- Chapter 2 – Adult Protective Services
- Chapter 3 – Case Management
- Chapter 4 – Long-Term Care Services
- Chapter 5 -Adult Services Approved Providers
- Chapter 6 – Confidentiality
- Chapter 7 – Guardianship & Conservatorship
- Chapter 8 – Right to Review
- Chapter 9 – DARS Appeals
- Manual Transmittal # – DARS-APSD-27
- Manual Transmittal # – DARS-APSD-29
- Manual Transmittal # – DARS-APSD-33
Adult Protective Services Forms
Assisted Living Facility Assessment Manuals
- ALF Assessment Manual (Private Pay)
- ALF Assessment Manual (Public Pay)
- ALF Relocation Plan
- Manual Transmittal # – DARS-APSD-30
- Manual Transmittal # – DARS-APSD-32
- Sample Approval Letter for Assisted Living Placement
- Sample Denial Letter: Does Not Meet Minimum Residential Level of Assisted Living Care