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Palliative Care Program Outreach Materials & Forms
01/01/2006 | Requests *Summary
The Ticket to Work Palliative Care program is a demonstration project to provide palliative care interventions to help Nebraskans with disabilities address pain, symptoms and psychosocial issues that create a barrier to employment. Included are the Pilot Application Cover Letter, Consent Form and Assessment Forms. The website for Nebraska Ticket to Work is also attached.
Author
Available Files
- Pilot Application Cover Letter Word (30K, 1 page)
- Pilot Consent Form Word (29K, 1 page)
- Client Assessment Forms Word (190K, 13 pages)
- Website Off-site link
Keywords
Ticket to Work; Public Health; Eligibility; MIG;
Topic
Physical Disabilities, State/Agency Information
Type/Tool
Links / Websites, Marketing materials, Surveys
Source
Grantee produced, Nebraska Ticket to Work
State
Nebraska, All States/Territories
Date Created
02/08/2008
Contact
Sharon Johnson
Department of Health and Human Services, Medicaid and Long-Term Care
P.O. Box 95044
Lincoln, Nebraska 68509
sharon.j.johnson@dDHHS.ne.gov
402-471-1764
Department of Health and Human Services, Medicaid and Long-Term Care
P.O. Box 95044
Lincoln, Nebraska 68509
sharon.j.johnson@dDHHS.ne.gov
402-471-1764
Short URL
Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.
* Reflects requests since January 1, 2007
Options
HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)