Forms

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)

HIPAA Privacy Practice Statement (PDF)

Learn More About Guardianship (PDF)

ESS Referral Form

Direct Deposit Authorization Agreement (PDF)
Mileage & Expense Reimbursement Form (PDF)
2018 Payroll Calendar (PDF)
2018 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)
Timesheet: Veteran Directed Program (PDF)

2018 Campership Request Instructions (PDF)
2018 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)
Respite Profile Form (PDF)
Respite Reimbursement Form (PDF)
Respite Reimbursement Form, Spanish (PDF)
Respitality Request Form (PDF)

Application Letter (PDF)
Guardianship Guide (PDF)
High School Transition Planning Checklist (PDF)
Medicaid Guide (PDF)
Medicaid Reference Sheet (PDF)
Social Security Guide (PDF)
Wait List Guide (PDF)

Gateways Community Services Privacy Policy (PDF)

Release of Information Form (PDF)

Universal Precautions Training (PDF)