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Private & ConfidentialASSISTIVE DEVICES RESOURCE SERVICE
Questionnaire: Face to Face Communication
PLEASE PRINT AND COMPLETE IN FULL
To be submitted with the ADDS Referral Form.
Client name:
DOB:
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How to fill out adrs referral form

How to fill out adrs referral form
01
Start by downloading the ADRS referral form from the official website.
02
Fill out the personal information section, including the client's name, address, phone number, and date of birth.
03
Provide detailed information about the client's disability or impairment and any related medical history.
04
Include information about the current living arrangements, such as whether the client lives independently or with family or in a facility.
05
Describe the specific services and supports needed by the client, including any assistive devices or therapies.
06
If applicable, provide information about the client's education and employment status.
07
Sign and date the referral form before submitting it to the appropriate ADRS office or contact person.
08
Keep a copy of the completed referral form for your records.
09
Follow up with the ADRS office to ensure that the referral has been received and processed.
Who needs adrs referral form?
01
The ADRS referral form is typically needed by individuals with disabilities or impairments who require services and support from the Alabama Department of Rehabilitation Services (ADRS). This form helps assess the specific needs of the individual and facilitates the provision of appropriate assistance and resources.
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What is adrs referral form?
The ADRS referral form is a document used to refer cases to the Alternative Dispute Resolution System, typically aimed at resolving disputes without resorting to traditional litigation.
Who is required to file adrs referral form?
Individuals or entities involved in a dispute that is eligible for Alternative Dispute Resolution are required to file the ADRS referral form.
How to fill out adrs referral form?
To fill out the ADRS referral form, provide accurate information about the parties involved, describe the nature of the dispute, and include any relevant documentation that supports the referral.
What is the purpose of adrs referral form?
The purpose of the ADRS referral form is to initiate the process of resolving disputes through alternative means, thus avoiding court trials and expediting resolution.
What information must be reported on adrs referral form?
The form typically requires the names and contact information of the parties, a description of the dispute, the desired outcome, and any relevant case numbers or identifiers.
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