For Consumers
Contacts
Kay Gunckel, Director of Consumer Services
615-741-6674 (Phone)
615-532-9940 (Fax)
kay.h.gunckel@tn.gov
Susan Moss, Assistant Director of Consumer Services
615-253-4632 (Phone)
615-532-9940 (Fax)
susan.moss@tn.gov
Margaret Donald, Advocacy Grant Coordinator
615-253-6882 (Phone)
615-532-9940 (Fax)
Margaret.P.Donald@tn.gov
Resources
ArcLInk
MHDD Licensure Search
Intake Referral Form (PDF)
Family Guide to Medicaid Waiver (PDF)
Individualizing Residential Supports Resource Manual (PDF)
The Family Handbook (PDF)
Statewide Family Training Schedule - 2009 (PDF)
The Self-Determination Waiver Program - Guide To Self-Directing Services
Medicaid Waiver Admission Information
- A Message from Deputy Commissioner Norris (PDF)
- Contact Information (PDF)
- Frequently Asked Questions (PDF)
HIPAA Privacy Notice (PDF)
Planning and Implementation Resource Manual
Conservatorship Forms
- Conservatorship Information Form (PDF)
- Consent to Serve (PDF)
- Affidavit of Indigency (PDF)
- Physician Report (PDF)
Community Inclusion Project: Comprehensive Assessment and Treatment for Persons with Dual Diagnosis (PDF)
Provider Listing
Provider Agencies List (PDF, Word)
For revisions to the Provider List please contact Linda Maurice - Linda.Maurice@tn.gov
