View Links, Handbooks, and Resources Here
Supplemental Handouts
- ITCA-Title-III-Reporting-summary-Tribes
- Clients Rights & Responsibility
- Grievance Procedure & Cost Sharing
- DAARS Instructions_Rev 4.25
- HHS Poverty Guidelines For 2019
- Authorization for Release of Confidential Information
Home Delivered Meals
- Short Form Intake Document (SFID)
- HHS Poverty Guidlines 2019
- SFID Service Matrix DES AZ DAAS
- SFID Overview Tribal Power Point
Congregate Meals
- Congregate Meals Nutritional Assessment
- Short Form Intake Document (SFID)
- CNG Nutritional Assessment Form (Fillable Form)
- Title III Nutritional Assessment_Guide
Caregiver Training
- Caregiver Reg Forms (Caregiver Training)
- Caregiver Assessment Tool (CAT) Fillable Form
- Caregiver Assessment Tool (CAT) Form-3-Pages
Caregiver Outreach / Caregiver Information & Referral
Matter of Balance
- Host-Organization-Information-Form-General
- Participant-Information-Form-revised
- Post-Session-Survey-OMB-Approved-revised
- MOB Class Evaluation
- Falls-Program-Information-Cover-Sheet-revised-General
- Falls-Attendance-Log
Enhance Fitness
Transportation
Socialization & Recreation
- Soc & Rec Monthly Reporting Form_Rev 8.22.18 (Required)
- Social Services Report Non-Registered_Rev 9.4.19 (Required)
- Soc & Rec Sign-in Sheet Rev. 8.21.18 (Optional)
- Soc & Rec Summary Report_Rev 8.22.18 (Optional)
Long Term Care / Ombudsman
- Time Sheet for Staff and Volunteers revised 4_25_18
- Monthly Ombudsman Data Collection Form
- Case Complaint Form
- HHS Poverty Guidelines 2019
Public Benefit Outreach Project Form
- Client Contact Form
- State Health Insurance Program Public and Media Activity Form
- Senior Medicare Patrol Outreach Event Tracking Form updated form
- FPL Eligibility Requirements 2019