Forms for DDS

Adult Foster Home Forms

FAQ, Guides, and Tools for AFH
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Background Check Form

Psychotropics-Interpretive statement August 2023.pdf

Correcting Documentation Errors
DHS/OHA Forms and Publications - If the form has a form # on the bottom right-hand corner, use this link to download.  

How to Access Other Forms
ISP Forms and protocols 
Tips for Training Hours
SB99 Transmittal 9.2024
SB 99 FAQ

Individual Records
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Activities Record (Sample)
Balancing Test for Psychotropic Medication (Sample)
Emergency Exit and Safety Orientation for Entry - UPDATED July 2023
Financial Record and Ledger (Sample)
Incident Report 
Individual Consent to HCBS Limitations
Mandatory Abuse Reporting for Adults
Medication Administration Record (Sample)
Notice of Involuntary Exit - 0719R (10/2019)
Personal Property Record (Sample)
Physician Visit and Order Form (Sample)
Progress Notes Template - Added July 2023
Resident Agreement Form - Updated April 2024 
Resident Bill of Rights
Resident Record Table of Contents (Sample)
Safety Plan 
Notice of Non-Discrimination (NDN) 

Variance Request Form and Instructions

Personnel, Training and Facility Records
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Application for Employment (Sample)

Complaint Procedure (Must be posted)
Bill of Rights (Must be posted)

Drug Disposal Record (Sample)

Emergency Phone Number List (Sample)

Emergency Plan Template (Fill-able)
Emergency Plan Annual Practice Record - Added July 2023
Emergency Supply List (FEMA Brochure)

Fire Evacuation, Smoke and Carbon Monoxide  Detector Checks (Sample)

Floor Plan Guidelines & Window Measurements

Hiring & Training Sub-Caregivers Checklist 

ISP and Support Documentation Training

Menu (Sample)

Personnel & Facility Records Checklist

Special & Modified Diets Training Record
Training Log 8.15.23.pdf - Updated August 2023
Substitute Caregiver Orientation Record (Sample)