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How to use or fill out (CDASS) Client Referral Form - PCG Public Partnerships with Our Platform
- Click ‘Get Form’ to open the (CDASS) Client Referral Form in the editor.
- Begin by filling out the 'Client Information' section. Enter the client's name, waiver type, date of birth, social security number, complete address, telephone numbers, email address, and preferred CDASS start date.
- In the 'Authorized Representative (AR)' section, indicate whether an AR is required. If yes, provide their details including name, relationship to client, and contact information.
- Complete the 'Case Management' section by entering the SEP agency and case manager's information. Add any relevant comments that may assist in processing.
- Review all entries for accuracy before saving your progress. Utilize our platform’s features to easily edit or adjust any fields as necessary.
- Once completed, save your form and share it directly from our platform for free with your case management agency.
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