Individual Review Request Form
Also known as a Complex Technical Assistance, an Individual Review (I.R.) involves HCQU staff reviewing records and meeting with the individual’s support team to generate medical/behavioral suggestions with regard to the difficulties being experienced by the individual.
Complete this form for an Individual Review.
technical Assistance Request form
A Technical Assistance (TA) is a process where the HCQU provides individualized medical/behavioral health education to individual/s, supporter/s, and/or family member/s. Information can be provided in written format, and/or through consultation or training with HCQU staff.
Complete this form for a Technical Assistance.
If the options available do not fully address your needs or if you require additional assistance, please fill out the Call Back Request Form and a member of the HCQU will connect with you and provide personalized support.
** If you are interested in group trainings for your staff, please see the training tab, or contact our Training Coordinator Krista Fitzsimmons at Kfitzsimmons@milestonepa.org
