WebPaper reporting forms can be obtained by calling your local or health service region or by download in PDF format (Epi-2 for more detailed single case medical care provider reports or Epi-1 for less detailed multiple reports). As a last resort or in case of emergency, reports can be made by telephone to the state office at 888-963-7111. WebYou may download some DSHS forms. These are provided only if a DSHS program requests forms to be available electronically for public use. DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. This means you can open, view, and print each form.
Residential Care Services Online Incident Reporting DSHS Code …
WebThe legislature added additional mandatory reporting requirements in 2008. The mandatory reporting rules are in Chapter 246-16 WAC. They cover reports about all practitioners regulated by the department secretary, board or commission. They require reporting by healthcare practitioners, employers, healthcare facilities and others. More … Web1 day ago · If you are an employee making a mandated report on behalf of a licensed long-term care facility or certified supported living agency, please complete Residential Care Services Online Report. ... After making a report, a DSHS staff member may contact you (the reporter) for more information. st james power station heritage gallery
Fawn Creek Township, KS - Niche
WebThe Council requested that the ADP produce a report on Texas data and barriers to population-level data collection on AD. DSHS’s Office of Surveillance, Evaluation and Research (OSER) published this report on July 31, 2015. Partnership Development The Council, in its efforts to support AD services and programs, develops partnerships with WebOnline Incident Report Reporter/Fac. Information Involved Individuals Incident Details Verify & Submit Online Incident Report * Incident Report Type: Reporter Information * First Name: * Last Name: * Job Title: Callback Number: Facility Information * Facility/Agency Type: * License/Cert. Number: * City: Next Web(1) When there is reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred, mandated reporters shall immediately report to the department. st james presbyterian church bedfordview