The Arc requires completion of ALL of the following information for individuals requesting consideration for Arc services. The information provided will be kept confidential in accordance with Federal and State Confidentiality Laws and HIPPA requirements.
Referrals are processed within 5 business days of receipt. To access services, an intake must be conducted with the individual. Please list the day(s) and time(s) that work best for the individual, his/her guardian/caregiver, and any other parties who will be present at the intake.
I hereby acknowledge that all information in this document is accurate to the best of my knowledge. I understand that I am required to notify The Arc in writing of any changes to this document.