Take a Stand on the Plan

Right NOW the Department of Health Services (DHS) is creating a plan that will make BIG changes to how services are provided to people with disabilities, the elderly and families. Without your input, these changes may not be strong enough to make lives better!

This tool will help you tell the Department of Health Services about changes you want for people with disabilities at home, work, and in their decision-making. Once you fill this out, we will submit your comments to the Department of Health Services and send you a copy of your comments.

Question Title

* 1. Your address and contact information is required so we can send DHS your comments.

Name:

Address:

City/Town:

ZIP:

Email Address:

Question Title

* 2. Select one of these categories below for each individual response you create. Please fill out the tool for each role that you have. For instance, if you have various roles you might answer from the perspective of a family member, paid provider or other.

Are you a:

Person with a disability (or using this tool to assist someone with a disability to answer)

Family member (sharing own perspective)

Paid Provider of Services

Question Title

* 1. Your address and contact information is required so we can send DHS your comments.

Question Title

* 2. Select one of these categories below for each individual response you create. Please fill out the tool for each role that you have. For instance, if you have various roles you might answer from the perspective of a family member, paid provider or other.Are you a:

* 2. Select one of these categories below for each individual response you create. Please fill out the tool for each role that you have. For instance, if you have various roles you might answer from the perspective of a family member, paid provider or other.

Are you a: