Forms

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

In order to get started with the CDPAP program, you must use a Fiscal Intermediary. Special Touch is the leading Fiscal Intermediary in The Bronx, Brooklyn, Queens, Staten Island, Manhattan, & Yonkers. Get Care In Your Borough Here.