Forms for DDS

Adult Foster Home Forms

FAQ, Guides, and Tools for AFH
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Foster Background Check Application

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
The 5 Ws of House Rules-Agreements.pdf

Individual Records
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Activities Record (Sample)
Balancing Test for Psychotropic Medication (Sample)
Emergency Exit and Safety Orientation for Entry -
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 
Resident Agreement Form 
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 
Emergency Supply List (FEMA Brochure)

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

Floor Plan Guidelines & Window Measurements

Hiring & Training Sub-Caregivers Checklist
How to find POC Claims in eXPRS
How to request eXPRS Technical Assistance 

ISP and Support Documentation Training

Menu (Sample)

Personnel & Facility Records Checklist

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