Forms
General
- Authorization Form for Use of Disclosure of Protected Health Information
- CDDO Area Transfer Form
- COVID-19 Medical Form Printable
- COVID-19 Medical Form Fillable
- Critical Incident Report
- Dispute Resolution: Affiliated Providers Disputes with the SCDDO (A-04)
- Eligibility Handbook
- ES-3161
- Home and Community Based Services MR/DD Medicaid Waiver Consumer Choice Form
- Intake Packet - Age 6 and Under
- Intake Packet - Age 7 and Older
- KanCare Application
- Policy Manual
- Relias New User Form
- SCDDO Consumer Information Changes
- SCDDO Payment Guidelines
- Service Changes Form
- What is the SCDDO?
- F102 Termination Cover Page
Fast Facts
- Appeals
- Spanish
- Vietnamese
- Becoming a Service Provider
- Community Resources
- Spanish
- Vietnamese
- Eligibility
- Spanish
- Vietnamese
- Functional Assessment
- Spanish
- Vietnamese
- Funding Committee
- Spanish
- Vietnamese
- Initial Intakes
- Spanish
- Vietnamese
- Notice of Funding Eligibility
- Free Choice Provider Consultation
- Spanish
- Vietnamese
- Project SEARCH General
- Project SEARCH Sedgwick County
- Youth Transitions to Adulthood
Funding Committee
Functional Assessment
- MFEI Manual
Quality Assurance Committee
QAC Manual
- QAC Manual
Service Review Documents
- BSP and PMP Plan/Documentation Review
- BSP and PMP Plan/Documentation Review Comments
- Personal Care Services for Children Tool
- Personal Care Services for Children Tool - Fillable
- Personal Care Services for Children Tool - Fillable (Spanish)
- Personal Care Services for Children Tool - Pandemic
- Employment Questionnaire
- Life Enrichment Tool
- Life Enrichment Tool - Fillable
- Life Enrichment Tool - Pandemic
- Support Plan Review
- Support Plan Review Comments
- Residential Tool
- Residential Tool - Fillable
- Residential Tool - Pandemic
- Personal Care Services for Adults Tool
- Personal Care Services for Adults Tool - Fillable
- Personal Care Services for Adults Tool - Fillable (Spanish)
- Personal Care Services for Adults Tool - Pandemic
- Work Services and Supported Employment Tool
- Work Services and Supported Employment Tool - Fillable
- Work Services and Supported Employment Tool - Pandemic
Forms
- HIPAA in BASIC TRAINING
- HIPAA Basic Acknowledgement Form
- QAC Cover Page
- QAC Review Checklist
- SCDDO Non-Employee Confidentiality Form
- Self-Direction Notification Letter
Templates
- Agency Intervention Plan Template
- Individual Service Modification Plan Template