Program Contact List

Program Contact List (PDF)

Life Plan & Referral Contacts

Life Plan Meeting Contacts (PDF)

Family Reimbursement Forms

Admin Directive Memorandum (PDF)

Clinical – Medical Justification (PDF)

Allowable & Non-Allowable List (PDF)

FR Application (PDF)

Follow-up Application Questions (PDF)

Respite Verification Form (PDF)

Life Plan Verbiage Guidelines (PDF)

Receipt for Respite Services (PDF)

Additional Follow-up Questions for Respite (PDF)

Referral Forms

 

Referral SD Fillable PDF -updated 2025 (PDF)

Vocational and Community Supports Referral Form (PDF)

Send completed Family Reimbursement Forms to Cherokee (Dawn) Shattuck at cherokee.shattuck@thearcas.org or mail to Dawn’s attention at The Arc Allegany-Steuben, One Arc Way, Bath, NY 14810. Questions? Please call Dawn at 607.622.1888.

Can’t find what you are looking for? Please contact Heather Perkins, Chief Operations Officer, at heather.perkins@thearcas.org or 585.593.5700 ext. 516.