Downloadable forms from the Henry County Central Point of Coordination (CPC) office.


  Southeast Iowa Link (SEIL) Forms

These forms and informational documents are from the Southeast Iowa Link Access Office and are for general public use. These files have been created for your use and are in a PDF format. If you don't have a program that can read PDF files, please click HERE to get the Adobe Reader. Other information may go here also as deemed needed by the Office Holder.

HIPAA Policy
Notice of Privacy Practices
SEIL Brochure
SEIL Management Plan
Mental Health Assistance Funding Application Cover Sheet
SEIL Mental Health Assistance Funding Application
SEIL Authorization to Obtain and/or Disclose Information
SEIL Change of Information Form
SEIL Request for Service Funding
SEIL Appeals Process
SEIL Annual Service and Budget Plan - Fiscal Year 2017
2016 Annual Report

 
             

Wild Prairie Rose - state flower of Iowa

Mud Creek Recreation Area

Wendell