Thank you for your interest in Southeast Works!  In order to complete the referral process the following items must be done/completed:

  • Complete the application and return it as soon as possible.
  • Enclose copies of your insurance cards (Medicaid, Medicare, etc.), Non-Driver ID, Social Security card.
  • A physical exam form completed by a licensed physician and returned to this Agency as soon as possible. You must also return a copy of your PPD test.
  • Please enclose a copy of your full ISP to include all Habilitation and Behavior Support plans; copies of initial LCED and most current LCED.
  • Please enclose a copy of a Psychological Assessment dated within 7 years.
  • Please enclose a copy of the Notice of Decision (NOD).
  • Please enclose copies of the following summaries if they are available
    • Social Summary
    • Educational Summary
    • Vocational Summary

If you have any questions, you may contact Ashley Claypoole at 683-7100 extension 277

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