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Click ‘Get Form’ to open the DDD-1972A application in the editor.
Begin with SECTION A, where you will enter the applicant's information. Fill in the name, date of birth, AHCCCS A Number (if applicable), primary language, sex, home address, and contact details.
In SECTION B, provide details about the parent or foster parent if applicable. Include their name, phone number, address (if different), and relationship to the applicant.
Proceed to SECTION C to document health insurance information. Enter the type of coverage, health plan name, policy holder’s name and ID/Group number.
If applicable, complete SECTION D by detailing early intervention and educational history. List any programs attended along with dates.
Finally, review all sections for accuracy before signing at the end of the form. Ensure that all required documentation is attached before submission.
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Arizona offers coverage for counseling, behavioral therapy, and mental health services to support autistic children and their families. Access to Specialists: Access to medical specialists, such as developmental pediatricians, psychiatrists, and psychologists, is crucial for comprehensive autism care.
How long does it take to get approved for DDD in Arizona?
How to apply for services with Division of Developmental Email the forms to DDDApply@azdes.gov. (This is the fastest way to process your application) 2. Mail the forms to any DDD office statewide. Drop off the forms to any DDD office statewide.
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