Get Bed Availability Form

Filling out the Bed Availability Form online is a straightforward process designed to gather essential information about bed availability in various facilities. This guide will help you navigate each section of the form with ease, ensuring that you provide complete and accurate information to best serve your target population.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the Bed Availability Form and open it in your preferred editor.
2. Enter the date at the top of the form to indicate when you are submitting the information.
3. Fill in the facility name and facility address fields with the appropriate details for your establishment.
4. Provide the contact person's name who can be reached regarding openings, followed by their phone number or email address.
5. Select the facility type by marking the relevant option (AFH, CBRF Class A, CBRF Class C, or RCAC) with a check.
6. Indicate the facility size by specifying the number of beds or units available.
7. Mark all groups supported by your facility as noted on your license. Options include AODA, Alzheimer/Dementia, Advanced Age, and others.
8. Specify the target population your facility serves, choosing from the examples provided.
9. Fill out current staffing levels for each shift, ensuring you indicate the number of staff available for each day.
10. Detail the facility accessibility by marking the applicable options, including sex offenders, all male/all female populations, and other services.
11. Indicate whether your facility accommodates Hoyer lift and/or 2-person assist transfers by selecting 'Yes' or 'No'.
12. State if your facility has RN oversight and elaborate on any specific medical management services provided.
13. Select the type of placement available, specifying whether it is private or shared and marking gender preferences.
14. Review all the information entered in the form for accuracy before finalizing your submission.
15. Once you have completed the form, save any changes, and then download or print it as needed. Finally, send the completed form via email to placementteam@milwaukeecounty.com.

Complete and submit your Bed Availability Form online today to ensure you are ready to assist your community.