Article Publication Date:
10/31/2008
Summary:
This document includes the “Arizona Links” common intake form as well as the instructions for completing the form. This common intake is intended be filed on behalf of a consumer, who is a resident or intends to become a resident of Arizona, and who is seeking or requiring direct services in the state.
Topics:
Resource Center
Types/Tools:
Sources:
Grantee produced
Arizona
Programs/Initiatives:
Aging and Disability Resource Center
States:
Keywords:
N/A
AZ Links; Arizona Links; Common Intake Form; Arizona Department of Economic Security; Reassessment; Code Charts
Contact
Arizona Department of Economic Security Elder Rights Unit
1789 Jefferson Street/ 950A
Phoenix, AZ 85007
Phone:
602-542-4446
Short URL: http://www.advancingstates.org/node/51745