Get Form 02ag032e (ag-7) - Oklahoma Department Of Human Services - Okdhs

Filling out the Form 02AG032E (AG-7) is a crucial process for communicating personal care provider changes within the Oklahoma Department of Human Services. This guide outlines a step-by-step approach to ensure you complete the form correctly and efficiently.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the document and open it for editing.
2. In section A, provide the identifying information. Fill in the client's name, case number, and address. Additionally, enter the provider's name and the client's phone number.
3. In section B, outline any recommended provider changes. Check the appropriate change code from the options provided, such as increasing or decreasing service, discharge, or suspension. Fill in the number of current units per month and the recommended units per month. Provide a recommended date of change and add justification for the request.
4. In section C, document the OKDHS nurse recommendation. Indicate if the plan is to increase or decrease service units, continue the present plan, or propose termination of service. If termination is selected, specify the effective date and provide any additional comments.
5. In section D, detail the OKDHS area nurse's review. Indicate whether the request is approved or denied, and include the effective date and any comments from the area nurse.
6. Once all sections are filled out, review your entries for accuracy. You can then save changes, download the form for your records, print it, or share it as needed.

Complete your form online for smooth and efficient processing.