Forms and Policies
Community Living disABILITY Services - Referral for Supports Intensity Scale Assessment
This form is completed by Department of Families service delivery staff to refer a Community Living disABILITY Services program participant for a Supports Intensity Scale interview. The form includes information about the participant, the reason for referral, and the names of individuals and respondents who will be involved in the interview process, including their relationship to the participant or service provider agency.