Documents and Memorandums Pooled (D4c) Documents Spring 2017 Update Professional D4c Update Fee Schedule D4c Pooled Trust Checklist Physician Statement Form PCP Pooled Trust Trust Acknowledgement Form D4a and Third Party Trust Documents Spring 2017 Update 3rd Party Checklist 3rd Party D4a Fee Schedule D4a Checklist Personal Care Plan Designation of Agent Form Trust Acknowledgement Form