DAC-PAS Personal Assistant Services
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Important Documents

This is a very temporary location for various documents related to the DAC-PAS Program. Please know that additional documents are currently in the process of being converted and will soon be uploaded to the DAC-PAS site. Thank you for your patience.

 
| Customer Documents | General Documents |
General Documents
 
FORMAT:
 
 
 
PDF
 
Word
 
  > Abbreviated Policies and Procedures  
PDF Format
 
Microsoft Word Format
  > Customer Agreement  
PDF Format
 
Microsoft Word Format
  > Back-Up Plan  
PDF Format
 
Microsoft Word Format
  > Bill of Rights  
PDF Format
 
Microsoft Word Format
  > Profile / Information Sheet  
PDF Format
 
Microsoft Word Format
  > Customer Rights as a Patient  
PDF Format
 
Microsoft Word Format
  > Plan of Care  
PDF Format
 
Microsoft Word Format
 
  > Plan of Care - Table Review  
PDF Format
 
Microsoft Word Format
 
  > Service Designation  
PDF Format
 
Microsoft Word Format
 
  > Full Management Manual  
PDF Format
 
Microsoft Word Format
 
  > Change in Agency Request  
PDF Format
 
Microsoft Word Format
 
  > Assistant Assessment  
PDF Format
 
Microsoft Word Format
 
  > Assistant Final Assessment  
PDF Format
 
Microsoft Word Format
 
  > Assistant Termination Procedures  
PDF Format
 
Microsoft Word Format
 
  > Assistant Termination Notice  
PDF Format
 
Microsoft Word Format
 
  > Legal Representative / Designee Agreement  
PDF Format
 
Microsoft Word Format
 
 

 

 
| Customer Documents | General Documents |
General Documents
 
FORMAT:
 
     
PDF
 
Word
 
  > Application to Provide Assistant Services - General  
PDF Format
 
Microsoft Word Format
 
  > Application to Provide Assistant Services - CDA  
PDF Format
 
Microsoft Word Format
 
  > Receipt of Manual Confirmation  
PDF Format
 
Microsoft Word Format
 
  > Medicaid Aged and Disabled (A&D) Waiver  
PDF Format
 
Microsoft Word Format
 
  > DAC-PAS Program Manual  
PDF Format
 
Microsoft Word Format
 
  > Implementation Plan  
PDF Format
 
Microsoft Word Format
 
  > Notice of Change  
PDF Format
 
Microsoft Word Format
 
  > Release of Information  
PDF Format
 
Microsoft Word Format
 
  > Dept. of Health & Welfare - Significant Change Request Form  
PDF Format
 
Microsoft Word Format
 
 

 

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MOSCOW

East 124 Third Street
Moscow, Idaho 83843

208.883.0523 Voice / TTY
800.475.0070 Toll-Free Voice / TTY
208.883.0524 Facsimile

E-Mail: moscow@dacnw.org
Website: www.dacnw.org


COEUR D'ALENE

1323 Sherman Avenue, Suite 7
Coeur d'Alene, Idaho 83814

208.664.9896 Voice / TTY
800.854.9500 Toll-Free Voice / TTY
208.666.1362 Facsimile

E-Mail: cda@dacnw.org
Website: www.dacnw.org


LEWISTON

307 Nineteenth Street, Suite A-1
Lewiston, Idaho 83501

208.746.9033 Voice / TTY
208.746.1004 Facsimile


E-Mail: lewiston@dacnw.org
Website: www.dacnw.org



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