Adult Protective Services (APS)

Arizona Assisted Living Homes Association

Arizona Department of Economic Security

Arizona Center for Disability Law (ACDL)

Arizona Long Term Care System (ALTCS)

Arizona Health Care Cost Containment System

Dieticians

Domestic Violence Community Resources and Shelters>

Do Not Resuscitate (DNR)

Dog License

Financial Planners

Food Assistance

Foundation For Senior Living

Free Fitness covered by Medicare Advantage plans

Funeral Homes

Genetic Testing

Health Insurance Portability and Accountability Act (HIPAA)

Home Health

Hospice

Legal Services

Massage Therapy

Medicare Resources

Medication Assistance

Memory Screening

Mobile Beautician

Mobile Dentistry

Mobile Doctors

Mobile Podiatry

Naturopathic

Occupational Therapy

Ombudsman

Palliative Care

Physical Therapy

Public Fiduciary

Realtors

Reassess Stagnant Seniors

Referral Specialists

Screening for men to increase Life Expectancy

Senior Centers

SHIP- State Health Insurance Assistance Program

Speech Therapy

Transportation

U.S. Department of Veteran Affairs

CALL AZDHS (602) 542-1025 ASK FOR RESIDENTIAL LICENSING, SURVEYOR OF THE DAY FOR ALL YOUR ALH QUESTIONS

Contact Dan Stamos with Assisted Living Licenses, Certificates & Training for assistance (not affiliated with INtouch Senior Services) *Recommended
602.384.1146 | Training@ALLCT.com | https://allct.com

Contact Jeff Calvert with Assisted Living Compliance Services for assistance (not affiliated with INtouch Senior Services) *Recommended
602.361.6369 | jeffalcspro@gmail.com | https://assistedlivingcomplianceservices.com

Contact Gabriela Istrate with for assistance (not affiliated with INtouch Senior Services) *Recommended
602.439.7307 | gabrielagoldenage@cox.net |


FORMS

Please review the forms used with the Arizona Department of Health Services Regulations before implementing them in your Facility. Keep in mind these forms are examples of what you can use, some forms may be out of date.


2018 Minimum Wage Poster (English)

AZ Earned Paid Sick Time Poster 2017

AZDHS Rules & Regulations Article 1 & 8 (print and have available for staff)

Inspection Records Notice (conspicuously posted)

a) DURABLE HEALTH CARE POWER OF ATTORNEY

b) DURABLE MENTAL HEALTH CARE POWER OF ATTORNEY

d) LIVING WILL (End of Life Care)

e) PREHOSPITAL MEDICAL CARE DIRECTIVE (DO NOT RESUSCITATE)

 9. Completed W-9 (Request for Taxpayer Identification Number and Certification), A4 (Employee’s Arizona Withholding Election)

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