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Forms & Resources
Important FormsResource GuidesHelpful Links
 

On this page, you can find often used forms, informational guides, and links to sites that focus on the many different aspects of the lives of people with disabilities. We hope that these will help you to better navigate through important services and supports.


Forms:
New and important documents that you can use.

Award Nomination Forms
2017 DSP Nomination Form (online submit form)
2017 DSP Nomination Form (PDF - Fill in online, print out or e-mail it to us)
2017 DSP Nomination Form (PDF - Print out, complete manually and mail it to us)

Applying for Services
BDS: Why Should Individuals with Developmental Disabilities Apply for Medicaid? (PDF)
Eligibility Determination Form (PDF)
Eligibility Determination Form, Spanish (PDF)
DHHS Application for Assistance (Medicaid) (PDF)
Documentation Checklist for Medicaid Application (PDF)
HIPAA Privacy Practice Statement (PDF)
Learn More About Guardianship (PDF)

Early Supports & Services
Pediatric Referral Form to ESS (PDF)
NICU Referral Form to ESS (PDF)

Employee Forms
Direct Deposit Authorization Agreement (PDF)
Mileage & Expense Reimbursement Form (PDF)
2016 Payroll Calendar (PDF)
2016 Field Employee Holiday Calendar (PDF)
2017 Field Employee Holiday Calendar (PDF)
Timesheet Instructions (PDF)
Timesheet Sample (PDF)
Timesheet (PDF)
Timesheet: Gateways for Seniors (PDF)
Timesheet: Gateways for Seniors, Fillable (PDF)
Timesheet: Gateways for Seniors: Daily Task Definitions (PDF)

Employment
Please visit our Employment page for opportunities, applications, and procedures.

Family Support
2017 Campership Request Instructions (PDF)
2017 Campership Request Form (PDF)
Consent To Bill (PDF)
Consent To Bill, Spanish (PDF)
Discretionary Funds Online Application (online form)
Discretionary Funds Printable Application (PDF)
Discretionary Funds Printable Application, Spanish (PDF)
Environmental Modifications Pre-Survey Form (DOC)
Family Support Information (PDF)
Family Support Information, Spanish (PDF)
Mileage Reimbursement (PDF)
Respite Profile Form (PDF)
Respite Reimbursement Form (PDF)
Respite Reimbursement Form, Spanish (PDF)
Respitality Request Form (PDF)

High School Transition Services
Application Letter (PDF)
Guardianship Guide (PDF)
High School Transition Planning Checklist (PDF)
Medicaid Guide (PDF)
Medicaid Reference Sheet (PDF)
Social Security Guide (PDF)
List of Adult and Children's Service Vendors (PDF)
Wait List Guide (PDF)

Privacy
Gateways Community Services Privacy Policy (PDF)

Release of Information
Release of Information Form (PDF)

Training Resources
Training Calendar (PDF)
Universal Precautions Training (PDF)
2016 DSP Conference Brochure (PDF)

Volunteering
Volunteer Application Form (online form)

Get Adobe Reader To read and print those forms which are PDF files, the free Adobe® Reader will be required on your computer. If your computer does not already have this program installed, you can download it by following this link to Adobe® Reader.

Links:
Here are a few organizations and services that we work with, as well as contact information for resources that you might find helpful.

The New Hampshire Lifespan Respite Coalition
New Hampshire Lifespan Respite Coalition Logo The New Hampshire Lifespan Respite Coalition's mission is to recruit and train a pool of qualified respite care providers which caregivers can easily access to meet the needs of those they care for, thereby enhancing the quality of life for individuals of all ages. The coalition is dedicated to helping caregivers receive the short breaks they need.

New Hampshire Department of Health and Human Services
Comprehensive portal to all state bureaus, including the Bureau of Developmental Disabilities and Medicaid.

Federal Medicaid and Medicare
Official web sites of the Medicaid and Medicare government programs. General information, enrollment requirements, and contacts are included.

Parent Information Center
The Parent Information Center (PIC) is a recognized leader in building strong family/school partnerships. PIC provides information, support, and educational programs for parents, family members, educators, and the community. PIC is a pioneer in promoting effective parent involvement in the special education process.

2-1-1 New Hampshire
2-1-1 is an easy to remember telephone number that connects callers, at no cost, to information about critical health and human services available in their community.

NH Developmental Disabilities Council
The New Hampshire Council on Developmental Disabilities is dedicated to dignity, full rights of citizenship, equal opportunities, and full participation for all New Hampshire citizens with developmental disabilities.

NH DHHS Developmental Services Quality Council
The Developmental Services Quality Council was established to provide leadership for consistent, systemic review and improvement of the quality of the developmental disability and acquired brain disorder services provided within New Hampshire's developmental services system.

Social Security and Disability Resource Center
The Social Security and Disability Resource Center web site provides information on the federal government's two disability benefit programs. Covered topics include disability applications, denials on claims, the filing of appeals, and how the disability claim evaluation process works.

LinkAbilities
LinkAbilities is a nonprofit resource that promotes public and private partnerships to address workforce challenges for employers and people with disabilities in the Greater Nashua community.

The PLUS Company, Inc.
The PLUS Company, Inc., (People Learning Useful Skills), is a nonprofit organization meeting the vocational, educational, residential, health care and social needs of people with developmental disabilities.

Consumer Credit Counseling Service
A non-profit serving New Hampshire and Vermont, CCCS offers debt management programs and financial consultation. (800)-327-6778