Tools

The tools listed below contain resources (instructions, forms, applications, sample letters, etc.) aimed to assist in clinician response and patient referral.

All tools can be downloaded by clicking on the document titles.

Tools

Income Supports

• Resources for Food Insecurity^NEW!
  
• Medical Letter of Support for SSI Application

Housing

• Resources for Maintaining and Paying for Utilities^NEW!
• Handling Requests for Reasonable Accommodations in Housing^NEW!
• Utility Company Fax Numbers
• Medical Documentation Needed to Protect Patients Against Electricity and Gas Shut-Off

Education 

• Sample Request for Special Education Evaluation
• Sample Request for Functional Behavioral Assessment (FBA)
• Sample Letter to Report Bullying
• Physician's Statement for Temporary Home or Hospital Education (courtesy of Massachusetts Department of Education)
• Boston Public Schools Safety Transfer Request Form
• Boston Public Schools Bullying Prevention and Intervention Incident Reporting Form 

Legal (Immigration) Status

• Communicable Disease and the Civil Surgeon's Exam
  • Communicable Disease Waivers for Immigrant Patients - Toolkit
  • I-602 - Applciation by Refugee for Waiver of Grounds of Excludability (courtesy of Department of Homeland Security, U.S. Citizenship & Immigration Services) 
  • I-693 - Report of Medical Examination & Vaccination Record (courtesy of Department of Homeland Security, U.S. Citizenship & Immigration Services)
  • Sample Letter of Support - Communicable Disease
  • Sample Letter of Support - Family Unity
• Fee Waivers
  • Sample Affidavit in Support of Fee Waiver Request - Naturalization
  • Sample Affidavit in Support of Fee Waiver Request - TPS
• Finding an Immigration Attorney
  • Free Legal Clinics (2011) Immigration & U.S. Citizenship Issues (courtesy of Irish International Immigrant Center)
  • Private Immigration Attorneys - Referral Sheet
• Immigrant Rights
  • Conozca Sus Derechos (courtesy of American Civil Liberties Union of Massachusetts and National Lawyers Guild)
  • Know Your Rights (courtesy of American Civil Liberties Union of Massachusetts, National Lawyers Guild, and Massachusetts Immigrant and Refugee Advocacy Coalition)
• Naturalization
  • A Guide to Naturalization (courtesy of U.S. Citizenship & Immigration Services)
  • A Guide to the Civics and English Exam (courtesy ofU.S. Citizenship & Immigration Services, Office of Citizenship)
  • Local Resources for Naturalization Applicants (courtesy of English for New Bostonians)
  • N-400 - Application for Naturalization (courtesy ofDepartment of Homeland Security, U.S. Citizenship & Immigration Services)
• Tourist Visas
  • Letter of Support for Tourist Visa - Applicant outside U.S.
  • Letter of Support to Extend Tourist Visa - Applicant in U.S.
• TPS and Deferred Action
  • Temporary Protected Status for Haitians FAQ

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Other

• Clothing (English)
• Clothing (Spanish)
• Countdown to Kindergarten Information Sheets (courtesy ofCountdown to Kindergarten Boston)
• Boston Public Schools Proof of Residency (courtesy ofBoston Public Schools Office of Enrollement and Welcome Services and Communication Office)
• Application for DDS Eligibility (courtesy of Commonwealth of Massachusetts Department of Developmental Services)