DDS Forms & Documents

DDS Forms & Documents

Announcements

TitleTypePosted Date
DDS Board Meeting Notice | 08/11/2021PDF07/22/2021

Presentation

TitleTypePosted Date
DDS ServicesPDF08/16/2019

Directories

TitleTypeEffective Date
Community and Employment Support (CES) Waiver ProvidersPDF07/12/2021
Community Support System Providers (CSSP)PDF07/22/2021

Waivers

TitleTypeEffective Date
Community and Employment Support (CES) AR.0188.R05.07PDF12/01/2020
Provider-Led Arkansas Shared Savings Entity (PASSE) – AR.0007.R00.01PDF03/01/2019
Autism – AR.0936.R01.01PDF04/22/2020

Forms

TitleTypePosted Date
CES Provider Application and InstructionsDOCX04/15/2021
Arkansas PASSE Incident ReportPDF08/29/2019
Social History FormDOCX01/02/2018
REQUEST FOR CHILD MALTREATMENT CENTRAL REGISTRY CHECKWEB
AUTHORIZATION FOR ADULT MALTREATMENT CENTRAL REGISTRYPDF 
Request for Criminal Record Check DDS-5088 (FBI)PDF 
Request for Criminal Record Check DDS-5088 (State)PDF 
Ombudsman Initial ContactPDF 

General Information

TitleTypePosted Date
CARF CrosswalkPDF07/08/2012
CDS General SupervisionPPTX02/19/2013

Parent Advisory Council (PAC) Documents

TitleType
PAC – CHC Family Member ReleasePDF
PAC | Parent Advisory Council BrochurePDF
PAC | Tip 01 – Preparing For A Transition IEP MeetingPDF
PAC | Tip 02 – Developing An Individual Plan For Employment (IPE)PDF
PAC | Tip 03 – Job AccommodationsPDF
PAC | Tip 04 – Promoting Self-Determination In Youth With DisabilitiesPDF
PAC | Tip 05 – Keys To Successful TransitionPDF
PAC | Tip 06 – Accessing The Division Of Vocational Rehabilitation (VR)PDF
PAC | Tip 07 – Person Centered PlanningPDF
PAC | Tip 08 – Assistive Technology (AT)PDF
PAC | Tip 09 – Health Care Transition In Adolescents And Young Adults With DisabilitiesPDF
PAC | Tip 10 – Questions to Ask Your DoctorPDF
PAC | Tip 10 – Questions to Ask Your Doctor (Spanish)PDF
PAC | Tip 11 – Turning 18PDF
PAC | Tip 11 – Turning 18 (Spanish)PDF

DDS Reports

TitleTypePosted Date
DDS Behavioral Consultation Committee Report SummaryPDF05/18/2021

DDS Address

P.O. Box 1437, Slot N501
Little Rock, AR 72203

DDS Phone Number

(501) 683-0870

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