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 Notice Of Privacy Practices (PDF)

Learn More About Guardianship (PDF)

ESS Referral Form

2019 SINGLE Seniors Timesheet

2019 Payroll Calendar Db

2019 SINGLE Timesheet

2019 SINGLE CARE VET Timesheet

Completing The Timesheet Instructions

Direct Deposit Authorization Agreement (PDF)
Mileage & Expense Reimbursement Form (PDF)

2018 FIELD Holiday Schedule(PDF)

HOLIDAY SCHEDULE 2019 FIELD EMPLOYEES (PDF)  

Timesheet: Gateways for Seniors: Daily Task Definitions (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(DOC)

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)