Resource Information
The following list of resources is provided to supplement the trainings, publications and other resources on Consumer Information Files contained on this website.
Consumer Information Files
Several centers for independent living (CILs) have made available examples of the forms and documents used in their center.
Access to Independence
- Authorization for Release of Information (pdf)
- Client Assistance Program Information(pdf)
- Personal Information - Need, Use and Disclosure Notice(pdf)
- Written Goal Plan(pdf)
Disability Partners
- Self-Assessment Form(pdf)
Lifetime Independence for Everyone, Inc.
Living Independently for Today and Tomorrow
- Consumer Application Form (pdf)
- Consumer Agreement (pdf)
- Consumer Right and Appeals Process (pdf)
- Authorization for Release of Information (pdf)
- Opening Statement Checklist (pdf)
- Closing Statement Checkslist (pdf)
Tri-County Independent Living Center
Walton Options for Independence
- Grievance Procedure and Client Assistance Program (CAP) (pdf)
- Case Notes Checklist (pdf)
- Independent Living Plan/Waiver and Goals Form (pdf)
- Informationn and Photo Release Form (pdf)
- Service Commitment Form (pdf)
- Voter Registration Declaration Statement (pdf)