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Get I Understand That The Oklahoma State Department Of Health Policy Requires Me
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How to fill out the I Understand That The Oklahoma State Department Of Health Policy Requires Me online
This guide provides detailed instructions on how to fill out the I Understand That The Oklahoma State Department Of Health Policy Requires Me form online. By following these steps, users will ensure they complete the form accurately and effectively.
Follow the steps to complete the form online.
- Click the ‘Get Form’ button to access the form and open it in your preferred editing tool.
- Begin by reviewing the purpose of the form. It documents adherence to the Oklahoma State Department of Health policy regarding reports of suspected child abuse or neglect. Ensure you understand the requirement to also make a direct contact to the Oklahoma Department of Human Services.
- Fill in the date and time when you made the oral report to the Oklahoma Department of Human Services, along with the name of the person who accepted the report and the referral number.
- Indicate whether the situation posed imminent danger and if law enforcement was called. Provide responses to whether the report was made anonymously.
- Complete the Reporter Information section by providing your name, title, phone number, fax number, county, email address, and the location of your workplace along with the specific program or clinic you're associated with.
- In the Child Information section, enter the child's name, date of birth or age, race/ethnicity, gender, whether they have any disabilities, and their address at the time of the report.
- Provide Family/Caretaker Information by listing each relevant person's name, relationship to the child, age, and whether any are disabled, along with language spoken in the home.
- Fill out the Out of Home Care section to indicate if the child is in out-of-home care and provide details accordingly, including the type of care and responsible persons.
- In the Incident Information section, classify the type(s) of suspected maltreatment and provide a detailed description of the situation, including any injuries or conditions observed.
- Document your interactions relating to the child's injury or condition, including your relationship with the child, how long you've known them, any inquiries made, and comments made by the child or adult regarding the incident.
- Conclude by filling in the One Week Follow-Up section, including details about the DHS caseworker, report acceptance status, assigned priority, and any issues faced during the report process.
- Finally, sign and date the form to validate your submission. Users can then choose to save changes, download, print, or share the completed form as needed.
Complete your documents online to assist in the important task of reporting suspected child abuse or neglect.
Our mission at Oklahoma State University Center for Health Sciences is to educate and train osteopathic physicians, scientists and health care professionals, with an emphasis on providing health care for rural and underserved areas of Oklahoma.
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