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 Beckie Austin, Associate Executive Director for Community Services, at beckie.austin@thearcas.org or 607-622-1916.