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State of Maine

Aging & Disability Services

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DHHS → Aging & Disability → Disability → Developmental Services → PCP Index → PCP Forms & Instructions
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Developmental Services (DS) Information

  • Adult Protection Services
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  • Person Centered Planning (PCP)
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Person-Centered Planning Forms & Instructions

Instructions are provided for your reference. Further information about the Person-Centered Planning Process is contained in the “Person-Centered Planning Preparation and Procedure Guide, 2008.

Forms & Instructions
Microsoft Word Adobe PDF
PCP Plan Face Sheet PCP Plan Face Sheet
Notification and Attendance Notification and Attendance
PCP Desire/Need PCP Desire/Need
Interim Plan Interim Plan
PCP Continuing Services PCP Continuing Services
Team Recommendations Section 21 Team Recommendations Section 21
Team Recommendations Section 29 Team Recommendations Section 29
  Grievance Insert Card
Guardian Approval Letter Guardian Approval Letter
Instructions for Personal Plan Forms Instructions for Personal Plan Forms
Response Sheet for Essential PCP Information Response Sheet for Essential PCP Information
Individual Support Team Meeting Form Individual Support Team Meeting Form
PCP and Service Plan Quality Assurance Form  
Services and Supports Assessmnet Instructions Services and Supports Assessmnet Instructions

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Address

Disability Services
SHS#11 - 2nd floor Marquart
32 Blossom Lane
Augusta, ME 04333

Phone: (207) 287-4242
TTY: Maine relay 711

Hotline Services
1-888-568-1112
TTY: Maine relay 711