Skip to content
Search
Close
Facebook Twitter Instagram Youtube Linkedin
DCBDD large color logo with blue lettering over transparent background
  • About
    • Mission, Vision, and Values
    • Strategic Plan
    • History
    • The Board
      • Board Meetings
      • Board Officers and Appointments
    • Get Started
    • Employee Directory
    • Meetings & Events
      • Calendar
      • Lifetime of Giving Awards
    • Career Opportunities
  • Individuals & Families
    • Intake & Eligibility
    • Early Intervention
    • Support Administration
    • Finding A Provider
      • Provider Search
      • Submit Request for Provider
    • Report an MUI
  • Providers
    • Provider Resources
    • Requests for Providers Listing
    • Background Checks
    • Report an MUI
  • Resources
    • Tools & Resources
    • MUI/UI Information
    • Grants
      • Accessibility and Inclusion Grant
      • Advocacy Grant
    • Access Delaware
    • Waiver & Medicaid
    • Waiting List
    • Complaint Process
    • Notice of Privacy Practices
    • Accessibility Statement
  • News
    • News & Publications
    • Perspectives Newsletters
    • Annual Report
  • Contact
    • Contact Us
    • Speaker/Training Request
Menu
  • About
    • Mission, Vision, and Values
    • Strategic Plan
    • History
    • The Board
      • Board Meetings
      • Board Officers and Appointments
    • Get Started
    • Employee Directory
    • Meetings & Events
      • Calendar
      • Lifetime of Giving Awards
    • Career Opportunities
  • Individuals & Families
    • Intake & Eligibility
    • Early Intervention
    • Support Administration
    • Finding A Provider
      • Provider Search
      • Submit Request for Provider
    • Report an MUI
  • Providers
    • Provider Resources
    • Requests for Providers Listing
    • Background Checks
    • Report an MUI
  • Resources
    • Tools & Resources
    • MUI/UI Information
    • Grants
      • Accessibility and Inclusion Grant
      • Advocacy Grant
    • Access Delaware
    • Waiver & Medicaid
    • Waiting List
    • Complaint Process
    • Notice of Privacy Practices
    • Accessibility Statement
  • News
    • News & Publications
    • Perspectives Newsletters
    • Annual Report
  • Contact
    • Contact Us
    • Speaker/Training Request

Submit Request for Provider

This option is for those individuals/families that choose not to contact providers using the Provider Book or DODD Provider Search Website.  Your SSA/EIS will help you put together your Request for Provider (RFP) or you may submit your RFP directly to DCBDD by completing the information below. Once your RFP is submitted, it will be reviewed and may be edited to meet HIPAA privacy requirements and/or people first language.

* required fields - Confidential information is for Board eyes only.
Hidden
Hidden
Name of person submitting this RFP(Required)
Hidden
Name of eligible individual(Required)
Hidden
MM slash DD slash YYYY
When writing your RFP it is best to be specific about the services and providers you are looking for. Ask yourself... Do I prefer an agency provider or independent provider? What days and times will I need services? Is there any type of specific training I prefer my providers to have? Will my provider need to be able to provide transportation? If you are requesting therapy services, would you like those to be provided in your home or a clinic?
MM slash DD slash YYYY
Post my RFP on the DCBDD website?(Required)
Email to Providers?(Required)
Have Service Providers Contact Me Directly?(Required)
If you enter "no" your support administrator will be contacted with the responses.
Name

Head Office

  • 7991 Columbus Pike
    Lewis Center, OH 43035 

  • 740.201.3600 (local)
  • Contact Us

Resources

  • About Us
  • Individuals & Families
  • Providers
  • Tools & Resources
  • Accessibility Statement
  • DODD Intermediate Care Facilities Search
  • DODD Residential Options Counseling Pamphlet
  • About Us
  • Individuals & Families
  • Providers
  • Tools & Resources
  • Accessibility Statement
  • DODD Intermediate Care Facilities Search
  • DODD Residential Options Counseling Pamphlet

Quick Links

  • 740.201.3600
    Major Unusual Incidents
  • MUI@dcbdd.org
  • Perspectives Newsletter
  • Provider Connections Newsletter
  • Employee Email Log-in

Search

Search
DCBDD large color logo with blue lettering over transparent background

DCBDD Ⓒ 2020 - All Rights Are Reserved

Website Designed by 40° Degrees Media, Ltd.

en English
ar Arabiczh-CN Chinese (Simplified)nl Dutchen Englishfr Frenchde Germanhi Hindiit Italianpt Portugueseru Russianes Spanish