CDCS:  Gathering Evidence to Support Services

 

Service

Time Period

(Days per week and number of hours per day)

Who Performs Services?

Why is this Service necessary for the health, safety, and welfare of the recipient?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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