24- Hour Contact FormAcknowledgement of Medicaid Services ChartAuthorization of Shared SupportsAttachment H Emergency PlanCapacity to Self-Administer MedsConsent to Email or TextGrievance & Complaint PolicyHIPAA Form 11-13-24Recipient Consent for Authorized Representation 09132Rights and Responsibilities FormSignatures of All Planning Meeting Participants Waiver Services Provider Certification

Copyright © 2025 Easterseals Louisiana - All Rights Reserved.

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept