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North Carolina LIFTSS

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Referring Practitioner

PCS & CAP Programs

Personal Care Services Forms

 

  • Request for Services - DHB-3051 Form & Instructions

To learn more about the PCS program, Click Here.

CAP Services Forms

 

  • Community Alternatives Program Physician Worksheet

To learn more about the CAP/DA program, Click Here.

To learn more about the CAP/C program, Click Here.

 

 

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NCLIFTSS@acentra.com
P: (833) 522-5429
F: (833) 470-0597

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