MD Orders

• (DOH 4359) Physician’s Order For Consumer Directed Personal Assistance Services
• (M11Q) Medical Request For Home Care

CDPAP Forms for Consumer’s or Their Designated Representative

• (M13D) CDPAP Application
• (MOU) Consumer/Designated Rep Acknowledgement of Roles and Responsibilities for CDPAP

Special Touch’s Compliance Hotline: 1-800-413-9756 and Compliance Officer: Shanna Medina