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Most forms are in WORD format for easy customization. 

 Note:  The information on this site, including this page, is for educational purposes and is not intended to be legal or medical advice. 

Consult an expert for legal or medical issues. 

Free Self-Directed Waiver Forms

Recruiting/Hiring DSWs

Phone Inquiry Screening Form

Interview Question Form

Tear Off Flyer Advertisement

Checklist for Employee File

Policies and Procedures

Confidentiality Agreement

Policies/Procedures Acknowledgement 

Home Maintenance Expectations

Expense Reimbursement

Conflict Resolution

Absentee Policy

Conflict Resolution

Petty Cash Policy

Home Book Forms

Progress Notes 1

Exercise Log

Community Outings Log

Height/Weight Log

Strengths, Needs, Interests, Preferences

Contact Info 1 (Providers)

Contact Info 2 (Staff)

Contact Info 3 (Other)

Home Book Access Log

Emergency Drill Log

Other Helpful Forms

All Hazards Emergency Preparedness Plan

Telephone Call Documentation

TIME SHEETS FOR WAIVER SERVICES

 NOW

Children's 

Choice

ROW 

Community Choices

        (OAAS) 

Other Helpful Forms

  NEW!   

"SHOW ME THE

MONEY" PAGES

PAYMENT SCHEDULE!

   ROW     CCW      NOW

  NEW!   

Weekly Activity Checklist
Credit: Jeannie Doiron
*(NOTE:  THIS IS NOT MEANT TO TAKE THE PLACE OF PROGRESS NOTES; ONLY TO KEEP STAFF AWARE OF WHAT HAS BEEN DONE ALREADY TOWARD GOALS AND WHAT REMAINS TO BE DONE!!)
OCDD Representative Consent Form
OCDD Critical Incident Form:

Medicaid Forms

  NEW!   

ASSET VERIFICATION AUTHORIZATION FORMS

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Spanish