Vermont Official State Website

Documents

File Name File Category Datesort descending File Format
Assistive Community Care Services Brochure PDF icon Assistive_Community_Care_Services_Brochure(2007).pdf Manual 14 Apr 2016 PDF
Choice for Care Brochure PDF icon Choice_for_Care_Brochure.pdf Manual 14 Apr 2016 PDF
Regional Long-Term Care Clinical Coordinator Mailing List PDF icon LTCCC_Regional_Mailing_List.pdf 18 Apr 2016 PDF
Report a Concern PDF icon Report_a_Concern_Page.pdf 18 Apr 2016 PDF
Attendant Services Program Brochure PDF icon Attendant_Services_Program_Brochure.pdf 18 Apr 2016 PDF
Flexible Choices Brochure PDF icon Flexible_Choices_Brochure(2014).pdf 18 Apr 2016 PDF
Adult High Technology Agreement for Care Form PDF icon Adult_High_Tech_Agreement_For_Care.pdf Form 18 Apr 2016 PDF
CFC 805A Home-Based Service Plan PDF icon CFC 805A HB Service Plan Updated for 2_23_16 MCD Bump_ICD_10.pdf Form 18 Apr 2016 PDF
CFC 804 Home-Based & ERC Change Form PDF icon CFC_804_HB_ERC_AFC_change_report.pdf Form 18 Apr 2016 PDF
CFC 804A Nursing Home Discharge Form PDF icon CFC_804A_NH_Discharge.pdf Form 18 Apr 2016 PDF

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Megan Tierney-Ward, Division Director
HC 2 South, 280 State Drive
Waterbury, VT 05671-2070
Voice: (802) 241-0294
Fax: (802) 241-0385
For Telecommunications Relay Service: Dial 711

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This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services