DHS

Contact Us

Forms & Documents

Announcements

Title Type Posted Date
DDS Waiver Provider Meeting PDF 02/02/2016
DDS Waiver Provider Stakeholder Meeting Summary PDF 02/01/2016
DDS Board Meeting Notice PDF 10/14/2020
DDS Waiver Provider Meeting Case Management Comments PDF 02/01/2016
DDS Waiver Provider Meeting Funding Comments PDF 02/01/2016
HCBS Settings Regional Trainings PDF  

Directories

Title Type Posted Date
CES Waiver Provider List PDF 10/13/2020
EIDT Provider Directory PDF 02/03/2020
ADDT Provider Directory PDF 01/28/2020

Forms

Title Type Posted Date
Waiver Service Provider Application PDF 05/09/2019
Waiver Service Provider Application Instructions PDF 05/09/2019
Social History Form DOC 01/02/2018
DDS-1910 | Incident Report Form PDF 10/31/2005
REQUEST FOR CHILD MALTREATMENT CENTRAL REGISTRY CHECK PDF  
AUTHORIZATION FOR ADULT MALTREATMENT CENTRAL REGISTRY PDF  
Request for Criminal Record Check DDS-5088 (FBI) PDF  
Request for Criminal Record Check DDS-5088 (State) PDF  
Ombudsman Initial Contact PDF  

General Information

Title Type Posted Date
CDS General Supervision PDF 02/19/2013
CARF Crosswalk PDF 07/08/2012
Organizational Chart PDF  

Information & Forms

Title Type Posted Date
Title V CSHCN Application Packet PDF 10/24/2019

PAC Documents

Title Type Posted Date
PAC - CHC Family Member Release PDF  
PAC | Tip 10 - Questions to Ask Your Doctor (Spanish) PDF  
PAC | Tip 11 - Turning 18 (Spanish) PDF  
PAC | Parent Advisory Council Brochure PDF  
PAC | Tip 10 - Questions to Ask Your Doctor PDF  
PAC | Tip 11 - Turning 18 PDF  
PAC | Tip 01 - Preparing For A Transition IEP Meeting PDF  
PAC | Tip 09 - Health Care Transition In Adolescents And Young Adults With Disabilities PDF  
PAC | Tip 02 - Developing An Individual Plan For Employment (IPE) PDF  
PAC | Tip 03 - Job Accommodations PDF  
PAC | Tip 08 - Assistive Technology (AT) PDF  
PAC | Tip 04 - Promoting Self-Determination In Youth With Disabilities PDF  
PAC | Tip 05 - Keys To Successful Transition PDF  
PAC | Tip 07 - Person Centered Planning PDF  
PAC | Tip 06 - Accessing The Division Of Vocational Rehabilitation (VR) PDF  

Part C Application

Title Type Posted Date
Annual State Application | 2012 PDF  
Annual State Application | 2013 PDF  
Annual State Application | 2014 PDF  
Annual State Application | 2015 PDF  
Annual State Application | 2011 PDF  

Presentation

Title Type Posted Date
DDS Services PDF 08/16/2019

Forms

Title Type Posted Date
REQUEST FOR CHILD MALTREATMENT CENTRAL REGISTRY CHECK PDF
Request for Criminal Record Check DDS-5088 (FBI) PDF
AUTHORIZATION FOR ADULT MALTREATMENT CENTRAL REGISTRY PDF
Request for Criminal Record Check DDS-5088 (State) PDF
Ombudsman Initial Contact PDF

Information & Forms

Title Type Posted Date
Title V CSHCN Application Packet PDF 10/24/2019
Arkansas Department of Human Services
Arkansas Department of Human Services

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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