DDS Eligibility Forms

Use these forms to apply for DDS services

We have recently changed our application forms and process. The new forms will provide DDS with the information needed to determine eligibility. Eligibility must be determined to get DDS services.

Please see the first list below if you're looking for an application for an individual who is four years old or younger.

Please see the second list for individuals who are between five and 22 or individuals who are older than 22.

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DDS Eligibility Forms

Table of Contents

Eligibility Applications – Birth Through Age Four

Eligibility Applications – Five to 22 and 22+

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