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Menu
  • About
    • Mission, Vision, and Values
    • History
    • The Board
      • Board Meetings
      • Board Officers and Appointments
    • Get Started
    • Employee Directory
    • Meetings & Events
      • Calendar
      • Lifetime of Giving Awards
    • Career Opportunities
    • Accessibility Statement
    • Covid 19
  • 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
    • Waiver & Medicaid
    • Waiting List
    • Complaint Process
    • Grants
      • Advocacy Grant
      • Accessibility Grant
    • Access Delaware
  • 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.
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Name of person submitting this RFP(Required)
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Name of eligible individual(Required)
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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)
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Resources

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

Quick Links

  • 740.201.3608
    Major Unusual Incidents
  • MUI@dcbdd.org
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