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CMS Inc. Forms


For Employees

CMS Expense Reimbursement Form
     .XLS     PDF
Sign-In Page for Meeting
     PDF

For Clients/Consumers

Behavior Tracking Form
     .XLS     .PDF

Health Assessment Form (every 2 years)
     .XLS     PDF

Releases with CMS Inc.
  • Agreement for Services
  • Authorization for Medical Treatment (OTC)
  • Authorization for Exchange of Information
  • Authorization to Release Healthcare Information
Private Pay Services

​Grievance With KanCare Provider - How to file a grievance with your MCO.

GUARDIANSHIP & CONSERVATORSHIP
  • ​Annual Report of Guardians Document​

TCM Compliment

TCM Complaint

Other

Nominate a Community Champion

Sample Daily Schedule 

Does your loved one have PAS/PCA services?  Make the most of your support staff time with a sample schedule of activities to work on during their support hours.
     .DOC     PDF

Communication Complexity Scale is a study at University of Kansas looking for participants to validate the assessment.  Download more information HERE.

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