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Our Mission
About
Meet the Team
NYC Programs
LHV PROGRAMS
Careers
Get Involved
Employee Notices
Forms
CHDFS EHR links
Contact us
Application
IT Support

Account

My Account
Sign out

Sign In
My Account

FORMS

OPWDD, HCBS_CFTSS, FLEX FUNDS FORMS

HCBS_CFTSS

CFTSS & HCBS PSYCKES Consent Form English (pdf)Download

CFTSS & HCBS PSYCKES Consent Form Spanish (pdf)Download

CHDFS CFTSS & HCBS Information Sharing Consent (pdf)Download

Spanish Version - CHDFS CFTSS & HCBS Information Sharing Consent.docx (pdf)Download

Validation Forms (pdf)Download

Waiver Safety Alert Plan 2020 (pdf)Download

CHDFS CFTSS REFERRAL FORM (pdf)Download

FLEX FUNDS

CHDFS Voluntary Deduction Form (pdf)Download

Flex funds Agreement NEW (pdf)Download

Flex Funds Monthly Report HCBS (pdf)Download

Request for HCBS Funds (pdf)Download

Request for OPWDD Funds (pdf)Download

Contact us

Phone: 212-695-4564 Email: Info@chdfs.org

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