Get Pre-service Provider Orientation - Absolute Hcbs

The PRE-SERVICE PROVIDER ORIENTATION - Absolute HCBS is a crucial document meant to facilitate the initiation of services between providers and individuals or their responsible parties. This guide will provide you with clear, step-by-step instructions on how to accurately complete this form online.

Follow the steps to successfully fill out the form.

1. Click the ‘Get Form’ button to access the form. This action will allow you to open the document in an online format for completion.
2. Begin with the provider information section. Fill in the provider's name, employer tax number, and AHCCCS ID number. Indicate if any special training is required and describe any necessary training.
3. Proceed to the critical information section. Enter the individual's name, date of birth, assists number, and contact information for the individual and their guardian or responsible party.
4. Complete the health and medical section. Input current medications, allergies, and any specific medical instructions. Ensure to detail the recommended responses to allergic reactions and seizure activities.
5. In the dietary section, provide information on food preferences, any choking hazards, and specific dietary instructions including tube feeding if applicable.
6. Fill in the communication skills section by selecting the applicable communication methods used by the individual and any devices that assist in communication.
7. Document mobility and personal care skills. Indicate the level of independence in various tasks, including dressing, bathing, and toileting.
8. If applicable, describe any behavioral concerns, noting the frequency and recommended interventions.
9. Finalize the form by obtaining the necessary signatures. Ensure the signature of the person completing the form is included, along with the date and their relationship to the individual.
10. Once all sections are completed, save your changes, and review the document for accuracy. You may then download, print, or share the completed form as needed.

Complete the PRE-SERVICE PROVIDER ORIENTATION form online today to ensure timely initiation of services.