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State of Hawaii DEPARTMENT OF HUMAN SERVICES Social Services Division Adult Protective & Community Services Branch CONFIDENTIAL REPORT FORM FOR SUSPECTED ABUSE AND NEGLECT OF VULNERABLE ADULTS.

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How to fill out the Dhs Form 1640 online

Filling out the Dhs Form 1640 online can be a straightforward process if you follow the right steps. This guide will provide a clear, step-by-step overview to help you complete the form accurately and efficiently.

Follow the steps to complete the Dhs Form 1640 effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by reviewing the categories of information required. Fill in the reporter information, including your name or agency, address, and phone number. Indicate whether you are a mandated reporter.
  3. Next, identify the type of harm by checking all applicable boxes for physical abuse, psychological abuse, sexual abuse, caregiver neglect, self-neglect, financial exploitation, or other types. Provide the date of the incident and its location.
  4. Provide detailed information about the vulnerable adult, including their name, date of birth, address, gender, phone numbers, living arrangements, present location, and any known disabilities.
  5. Describe the adult's appearance and behavior, and any additional information that may be relevant, including the presence of other adults at risk.
  6. List any presenting concerns of the vulnerable adult, including intellectual or mental health issues, physical disabilities, or substance abuse.
  7. For the alleged perpetrator(s), provide their name, age, address, gender, relationship to the adult, and primary language spoken. Note whether the adult believes they can make decisions for themselves.
  8. Summarize any prior services or treatment offered to either the adult or the alleged perpetrator, listing service providers and any contact information.
  9. Identify the support system available to the vulnerable adult, naming contacts who can assist.
  10. Conclude by describing the incident(s) in detail, including any health or environmental concerns, and add any necessary supporting documentation.
  11. Finally, save your changes, and use the options available to download, print, or share the completed form.

Begin completing the Dhs Form 1640 online today for efficient and accurate reporting.

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Dhs Form 1640
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2020 HI DHS 1640
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