Appendix G Assessment and Investigation Forms | APS 5500 Manual
Department of Human Services Policy and Manual Management System  | 
Index:  | 
MAN 5500  | 
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Effective Date:  | 
09/16/2021  | 
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Next Review Date:  | 
09/16/2023  | 
Subject: Division of Aging Services Adult Protective Services
| User | Form Owner | Form Number | Form Name | Instructions | Revision Date | 
|---|---|---|---|---|---|
APS/Invest  | 
DAS  | 
Authorization for the Release of Information – Form 5459 (English)  | 
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APS/Invest  | 
DAS  | 
Authorization for the Release of Information – Form 5459 (Spanish)  | 
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APS/Invest  | 
DAS  | 
DHS Notice of Privacy Practices (HIPAA) – Form 5460 (English)  | 
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APS/Invest  | 
DAS  | 
DHS Notice of Privacy Practices (HIPAA) – Form 5460 (Spanish)  | 
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APS/Invest  | 
DAS  | 
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APS/Invest  | 
DAS  | 
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APS/Invest  | 
DAS  | 
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APS/Invest  | 
DAS/APS  | 
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APS/Invest  | 
DAS/Access to Services  | 
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APS/Invest  | 
DAS/CCSP  | 
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APS/Invest  | 
DAS/HCBS  | 
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APS/Invest  | 
DAS/APS  | 
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APS/Invest  | 
DAS/APS  | 
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APS/Invest  | 
DAS/APS  | 
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APS/Invest  | 
DAS/APS  | 
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APS/Invest  | 
DAS/APS  | 
Investigation Matrix  | 
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APS/Invest  | 
DAS/APS  | 
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APS/Invest  | 
DAS/APS  | 
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APS/Invest  | 
DAS/APS  |