Empowering Lives Through
Empathy & Support

Empowering Lives Through Empathy & SupportEmpowering Lives Through Empathy & SupportEmpowering Lives Through Empathy & Support

Empowering Lives Through
Empathy & Support

Empowering Lives Through Empathy & SupportEmpowering Lives Through Empathy & SupportEmpowering Lives Through Empathy & Support
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Alone we can do so little; together we can do so much.


Helen Keller

Helpful Resources

Westchester Independent Living Center
Putnam Independent Living Services
Open Doors
The Alliance of the TBI & NHTD Waiver Providers
Brain Injury Association

NHTD/TBI Waiver Forms

NHTD/TBI Service Coordination Agency Selection form (pdf)Download
Selección de la agencia de coordinación de servicios (SCAS) (pdf)Download
Выбор учреждения по координации услуг - SCAS (pdf)Download
NHTD/TBI Change of Service Coordination Agency Form (pdf)Download
Solicitud de cambio de agencia de coordinación de servicios - COSC (pdf)Download
Запрос на смену учреждения по координации услуг (COSC) (pdf)Download
NHTD/TBI Provider Selection form (pdf)Download
Selección de proveedor (pdf)Download
Выбор поставщика услуг (pdf)Download
NHTD/TBI Change of Provider Form (pdf)Download
Solicitud de cambio de proveedor (COP) (pdf)Download
Запрос на смену поставщика услуг (COP_) (pdf)Download
Rights and Responsibilities (pdf)Download
Derechos y responsabilidades del participante de la exención (pdf)Download
Права и обязанности участника (R&R) (pdf)Download

NHTD/TBI Waiver Forms

A1 SC HIPPAA - recipient (pdf)Download
AUTORIZACIÓN PARA DIVULGAR INFORMACIÓN MÉDICA DE CONFORMIDAD CON HIPAA (pdf)Download

NHTD/TBI Initial Service Plan Documents

NHTD Initial Service Plan (pdf)Download
NHTD ISP Insurance, Resource and Funding Info Sheet (pdf)Download
NHTD Plan For Protective Oversight (pdf)Download
NHTD Waiver Contact List (pdf)Download
NHTD-TBI Rights and Responsibilities (pdf)Download
TBI Initial Service Plan (pdf)Download
TBI Plan of Protective Oversight (pdf)Download
TBI Waiver Services Contact List (pdf)Download

A1SC Enrollment Forms

A1SC Brochure (pdf)Download
Applicant Welcome Letter (pdf)Download
ISP Enrollment Process (pdf)Download
MLTC Guide (pdf)Download
ISP List of items needed (pdf)Download
Transfer Welcome Letter (pdf)Download
Items needed for transfer (pdf)Download
TBI Medicaid Waiver Initiative (pdf)Download
Waiver and Non-Waiver Services (pdf)Download

NHTD/TBI Revised Service Plan Documents

NHTD Revised Service Plan (pdf)Download
NHTD RSP Insurance, Resource and Funding Info Sheet (pdf)Download
NHTD Plan For Protective Oversight (pdf)Download
NHTD-TBI Rights and Responsibilities (pdf)Download
NHTD Individual Service Report (ISR) (pdf)Download
NHTD Waiver Contact List (pdf)Download
NHTD-TBI team Meeting Form (pdf)Download
TBI Revised Service Plan (pdf)Download
TBI Plan of Protective Oversight (pdf)Download
TBI Individualized Service Report (Blank) (pdf)Download
TBI Waiver Services Contact List (pdf)Download

Helpful Dementia Articles

Challenging Dementia Behaviors (pdf)

Download

What to Say to Stop Challenging Dementia Behaviors (pdf)

Download

Common Triggers for Challenging Behaviors in Home or Workplace Checklist (pdf)

Download

Making healthy lifestyle choices may reduce your risk of dementia. (pdf)

Download

Loneliness in Older Adults (pdf)

Download

Why Self-Care Matters for You and Your Loved One (pdf)

Download

Aging Well for LGBTQ+ Seniors - VNS Health (pdf)

Download

Home Safety Tips for Dementia Caregivers - VNS Health (pdf)

Download

How to Talk to Your Loved One with a Dementia Diagnosis (pdf)

Download

Helpful TBI Articles

BRAIN INJURY: A LIFELONG JOURNEY (pdf)

Download

Helpful Articles for All

A comprehensive guide against Fraud & Theft (pdf)

Download

A1 Service Coordination

73 Market Street, Suite 376, Yonkers, NY 10710

Main: 914-429-4574 | Referrals: 914-247-4521

Copyright © 2024 A1 Service Coordination - All Rights Reserved.



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