Apply for I/DD Services

The CDDO manages the HCBS waiver for I/DD (Intellectually Disabled/Developmentally Disabled) services for individuals age 5 and older who meet certain qualifications. The first step is to apply for services.  This can be done by completing the forms below this section.  You may download and print them off at home, complete them, and mail or bring them in to our office.

If you are unable to complete the forms or need assistance, please contact us at 620-221-5404.  We will be happy to schedule an appointment for you.

A psychological evaluation is often required for the individual requesting services.  These can be completed at Four County Mental Health, here in Winfield.

There may be other documents needed from doctors, hospitals, etc. Therefore a Release of Information is included in the documents below. Please fill this form out completely for any agency that may have important information needed in determining eligibility.

Please note there may be a waiting list to receive services.

Forms for I/DD Services

App Request Info 5-6-15

I/DD Psychological Guidlines and Appeal Policies

General Information Form

Social History Questionaire

Secure Release

Psychological Evaluation Resources

Article 30-63-22.b and c   Information

Application for Access to ID/DD Services

CDDO explanation page

Required Eligibility Documents

ID/DD Services Provided in Cowley County Information

Definition of I/DD

Please make sure all forms are completely filled out.

When completing the Release of Information, you MUST fill in the name and complete address of the doctor, agency, or other entity the request will be going to.  You may then send it to them yourself, or you can bring it to our office for us to deliver.

If information is needed from Four County Mental Health, you will need to fill out one of their agency’s Release forms. You may get one from them or request one from us.

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