Support Service Teams (SST) Referral Form - Revised

Purpose

The purpose of this Informational Bulletin is to notify Division of Developmental Disabilities providers that the form utilized to obtain a referral for the Support Service Teams (SST) has undergone revisions and will become available on the Illinois Department of Human Services web site as Support Services Teams Referral Form 7/15 (IL462-1299).

The Division has made the following revisions to this form:

• Rearrangement of demographic information
• The addition of "Age" field
• The addition of a drop down box for the "Type of Living Arrangement" field
• The "Reason for Referral" fields have been reduced from seven to four
• The addition of a field for the inclusion of a required narrative briefly describing the person being referred and the reasons for referral.

Effective

Effective date is immediately.  Prior versions of this form will no longer be accepted.