University of North Carolina at Chapel Hill

Instructions: All providers of day services (ADH, CLS-G, CLS-Ind, DCP, IES) must complete the self-assessment. Read each statement carefully. Check or click the box that best describes the status of each “Item” as related to your preparation for phasing in the reopening or resuming of group day services (ADH and CLS-G) and/or resuming or continuing individual day services (CLS-Ind, DCP and ... ................
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