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Apply for Adult Services

Who is Eligible?

Adults (individuals 18 and over), who have been diagnosed with a intellectual/developmental disability (ID/DD) before the age of 22, are eligible for these specialized services. An individual dually diagnosed with ID/DD and a mental health disorder may also be eligible. All diagnoses through psychological/adaptive behavior testing should be presented at the time of enrollment.

Our instructors are experienced with and are trained to assist individuals with the following disabilities:

  • Autism
  • Asperger's
  • Chromosomal Disorders
  • Sensory Disorders
  • Cerebral Palsy
  • William's Syndrome
  • Varying ranges of ID/DD disabilities

How to Apply

Contact Adult Services Coordinator, Emily Cathcart, at This email address is being protected from spambots. You need JavaScript enabled to view it., to set up an appointment for a tour of our facilities. Once the tour is completed, our staff will sit down with you to answer any questions you may have and assist in filling out an application. After all the documentation is collected and reviewed, the team will make a recommendation for services and set a start date that is convenient for both the individual and the Adult Services Program.

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Application Process & Required Documentation

  1. Schedule a tour and meet with our Intake Coordinator, Emily, by calling 501-776-0691.
  2. Complete Adult Services Program Application.
  3. Intake packet release forms completed and signed by potential client/guardian.
  4. Provide a copy of the following:
    1. Color copy of Social Security Card
    2. Driver's License/ID Card
    3. Medicaid Card
    4. Passe ID card, if applicable
    5. Other Insurance Cards: Private Insurance, Medicare, etc.
    6. Legal Guardianship Papers or Power of Attorney Documentation (only required if the client is not his/her own legal guardian)
    7. For persons age 21 or younger, a copy of his/her diploma or Letter of Completion from high school
    8. Psychological Evaluation (within the last 5 years, must include full scale IQ and adaptive behavior testing scores
  5. Client Health Report signed by assigned Doctor*
  6. Temporary Habilitation Plan signed by assigned Doctor*
  7. Medication List provided by Physicians office or Pharmacy.*

*These forms will be given at the initial intake meeting and should be signed by the assigned Doctor just prior to admission.

After receiving all documents and individual qualifies for services, a start date will be set and transportation will be requested if needed.

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“Live Civitan” means to help others, show compassion, and above all love other people. It means to live with dignity and purpose. See how our community is furthering this mission day in and day out.

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When you donate to Civitan Services, you help to provide the services and supports our clients need to make their dreams of a successful life come true.