Get 1-8 Incident Report Form - Hspolicy Utah

Filling out the 1-8 Incident Report Form - Hspolicy Utah can be straightforward with the right guidance. This form is essential for documenting incidents involving individuals receiving services, ensuring proper follow-up and support.

Follow the steps to successfully complete the form.

1. Use the ‘Get Form’ button to access the form and open it in an online editor.
2. Begin by entering the person’s ID, which is a unique identifier necessary for the report.
3. Fill in the person's name, today's date, and provide the date and time when the incident started.
4. Document the date and time when the incident ended. This will help in understanding the duration of the incident.
5. Provide your name and title, along with your contact number, to establish accountability and for follow-up communication.
6. Indicate the name and address of the provider involved in the incident, including the specific site location.
7. Record the number of individuals involved in the incident, including the person receiving services, and list their names and roles.
8. Specify the location of the incident from the available options such as school or home.
9. Answer the questions regarding actions taken post-incident, including notifications to medical professionals and police.
10. Detail the type of incident, specifying any injuries, abuse, or criminal acts, along with involved persons and treatment measures.
11. If applicable, complete the Emergency Behavioral Intervention Review by addressing the circumstances and recommendations.
12. Describe the incident in detail to give a comprehensive understanding of what occurred.
13. Finally, ensure the provider signature and the support coordinator’s recommendation/follow-up section are completed, and then ascertain today's date.
14. After completing all sections, save your changes, and you can choose to download, print, or share the form as needed.

Complete your 1-8 Incident Report Form online today to ensure timely and accurate reporting.