Program Manuals and Forms

Welcome to the ADSD Program Manual and Forms page. Program manuals and forms will be added to this page when published. Please check back regularly for new information.

ADSD General Use

TITLE FORM UPDATED
 200 ADA Title II Policy Manual_   06/04/2025
 Notice of Privacy Practices GA-CI-02 08/07/2025
 Aviso de prácticas de privacidad GA-CI-02S 08/07/2025
 Acknowledgement Privacy Practices GA-CI-03 08/07/2025
 Acuse de recibo del aviso de prácticas de privacidad GA-CI-03S 08/07/2025

Adult Protective Services

TITLE FORM UPDATED
 Adult Protective Services Policy Manual Chapter 2000   04/01/2025
 APS Client Rights APS-IA-01 03/19/2025
 APS Derechos del Cliente APS-IA-01S 03/19/2025

Autism Treatment Assistance Program

TITLE FORM UPDATED
 ATAP Application Checklist ATAP-EI-02 09/22/2025
 Lista de Verificación para la Solicitud ATAP-EI-02S 09/22/2025
 ATAP Eligibility Determination Standards ATAP-EI-03 09/22/2025
 Estándares de Determinación de Elegibilidad Requisitos de elegibilidad del ATAP ATAP-EI-03S 09/22/2025
 Application for Autism Treatment Assistance Program ATAP-EI-04 09/22/2025
 Solicitud del Programa de Asistencia para el Tratamiento del Autismo ATAP-EI-04S 09/22/2025
 ATAP Treatment Priority Worksheet ATAP-EI-05 09/22/2025
 Planilla de prioridad de tratamiento ATAP-EI-05S 09/22/2025
 ATAP Annual Financial Disclosure Form ATAP-EI-06 09/22/2025
 Formulario de Divulgación Financiera ATAP-EI-06S 09/22/2025
 Autism Treatment Assistance Program Parent Handbook ATAP-CM-03 09/22/2025
 Programa de Asistencia para el Tratamiento del Autismo Manual para Padres ATAP-CM-03S 09/22/2025

Communication Access Services

TITLE FORM UPDATED
     

Developmental Services - Regional Centers

TITLE FORM UPDATED
 Application for Developmental Services   DS-EI-01        01/02/2025
 DS Solicitud de Servicios del Desarrollo   DS-EI-01S 01/02/2025
 DS Application Checklist DS-EI-02 01/02/2025
 DS Lista de verificación para la solicitud DS-EI-02S 01/02/2025
 DS Acceptance of Support Services and Rights DS-EI-03      11/01/2024
 DS Aceptación de servicios de apoyo y derechos DS-EI-03S 11/01/2024
 DS Self-Directed Family Support Services Responsibilities Agreement DS-CM-01 02/28/2025
 DS Servicios Autodirigidos de Apoyo Familiar DS-CM-01S 02/28/2025
DS Financial Eligibility Packet Instructional Page  DS-EI-09 07/02/2025
 Página de instrucciones sobre elegibilidad financiera DS-EI-09S 07/02/2025
 DS Financial Eligibility Reporting Responsibilities DS-EI-10 07/02/2025
 Responsabilidades de notificacion de elegibilidad financiera DS-EI-10S 07/02/2025
 Financial Eligibility Application DS-EI-11 07/02/2025
 Solicitud de elegibilidad financiera DS-EI-11S 07/02/2025
 Statement Regarding Filing Income Tax/Unemployment DS-EI-12 07/02/2025
 Declaración relacionada con impuestos a las ganancias/desempleo DS-EI-12S 07/02/2025
 DS Unearned Income Report DS-EI-13 07/02/2025
 Informe de ingresos no salariales DS-EI-13S 07/02/2025
 Family Preservation Program Appeal Request Form DS-EI-20 07/02/2025
 Programa de Preservación Familiar Formulario de solicitud de la apelación DS-EI-20S 07/02/2025

 

Facility Outreach Community Integration Services

TITLE FORM UPDATED
     

Intermediate Care Facility

TITLE FORM UPDATED
     

Long Term Care Ombudsman Program

TITLE FORM UPDATED
 LTCOP Bill of Rights LTCOP-IR-01 04/08/2025
 LTCOP Declaracion de derechos LTCOP-IR-01S 06/16/2025
 LTCOP Residents’ Rights LTCOP-IR-02 06/16/2025
 LTCOP Derechos de los residentes de residencias de ancianos LCTOP-IR-02S 04/08/2025

Nevada Early Intervention Services

TITLE FORM UPDATED
     

Office of Community Living - Home and Community Based Services

     
                            

Office For Consumer Health Assistance

TITLE FORM UPDATED
 Office for Consumer Health Assistance Policy Manual Chapter 2800   04/01/2025

Taxi Assistance Program

TITLE FORM UPDATED
TAP Authorization Form TAP-CM-02      5/23/2025
TAP Formulario de autorizacion TAP-CM-02S 5/23/2025
TAP Registration Form TAP-EI-01 5/23/2025
TAP Formulario de inscripcion TAP-EI-01S 5/23/2025
TAP Registration Notice TAP-EI-02 5/23/2025
TAP Aviso de inscripcion de cliente TAP-EI-02S 5/23/2025