Get care from
loved ones who
put you first.
• Your Doctor must confirm that you, the Consumer, are authorized to receive services.
• This form is 100% Mandatory – Your doctor MUST fill out this form.
• Changing Health Plans
• Consumer needs this form filled out by their Doctor to transfer from their current plan to any other type of health care plan.
• General information for the Consumer including rules and guidelines for CDPAP. Take a look to learn more about your rights as a Consumer and what type of coverage is included in CDPAP personal assistant.
General information for the Personal Assistant, including rules and regulations for CDPAP. In addition, the Personal Assistant standard HR forms are included in the packet.