National Core Indicators Project in Wisconsin: Aging and Disabilities Survey Documents

Below are documents mailed to older adults and adults with disabilities who receive state services and were randomly selected to participate in the National Core Indicators Aging and Disabilities Survey (NCI-AD). Note: Multiple mailings occur throughout the year. Therefore, the date on your letter may different than the letter on this webpage.


Documents

Notification Letter

National Core Indicator Survey Pre-Notification Letter

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NCI-AD Consumer Outreach Form

National Core Indicator Survey Consent Form

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NCI-AD Flyer

National Core Indicator Aging & Disability Survey Flyer

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Notification Letter–Spanish

AD letter of notification in Spanish

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NCI-AD Consumer Outreach Form–Spanish

NCI IPS AD Consent form in Spanish

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NCI-AD Flyer–Spanish

Image of page 1 of P-02235 in Spanish

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The Wisconsin Department of Health Services (DHS) is currently conducting the National Core Indicators Aging and Disabilities Survey (NCI-AD) for older adults and adults with physical disabilities. This survey is part of a nationwide project called National Core Indicators. DHS is doing the survey to learn more about how to help people in Wisconsin who are getting long-term care. The survey information will be used to improve services and better understand people’s needs.

Last Revised: January 14, 2020