Documentation
Contract Adult Companion DD-12
Contract Community Residential Habilitation DD-12 (Parents/ SFCP)
Contract Respite DD-12
Instructions For Completing Billing Forms
Invoice for Respite/Adult Companion Services
Invoice for Community Residential Habilitation Services
The following are forms to type your information into
(Microsoft Word format):
The following are forms to print and hand write your information:
Invoice for Community Residential Habilitation Services
Invoice for Respite/Adult Companion Services
Contract Community Residential Habilitation DD-12 (Parents/SFCP)
Contract Respite DD-12
Contract Adult Companion DD-12
Invoice for Psychological Services
Invoices that will automatically calculate totals
(Microsoft Works format):
Note:  You have to save the file to your computer in order for it to work.
Miscellaneous Forms:
Change of Address/Phone
Invoice for Community Residential Habilitation Services
Invoice for Respite/Adult Companion Services
Information for Contracted Therapeutic Consultants:
Sample IPP
This is a link to a sample IPP on the APS Healthcare web site.  Includes sample
goals/objectives.   (Click on Individualized Waiver Budgets, open, then choose "JS Sample
IPP").
Sample Habilitation Schedule (My Tentative Schedule)
Invoice for Community Residential Habilitation Services
(Converts From Hours To Units)
Invoice for Respite/Adult Companion Services
(Converts From Hours To Units)
Invoice for Therapist Services (PT/OT/ST/Dietician)
Invoice for Nursing Services
Invoice for Therapeutic Consultant Services
Tracking Form For Psychological Services
Tracking Form For Therapist Services (PT/OT/ST/Dietician)
Tracking Form For Nursing Services
Tracking Form For Therapeutic Consultant Services
Instructions For Completing DD-12s in Microsoft Word Format
SAVE THE FORM TO YOUR COMPUTER!