Get Dms 762

The DMS 762 form is essential for reporting incidents of resident abuse, neglect, or misappropriation of property within long-term care facilities. This guide provides clear, step-by-step instructions for users to fill out the form accurately and efficiently.

Follow the steps to complete the DMS 762 form online.

1. Click ‘Get Form’ button to access the DMS 762 and open it in the online editor.
2. In the first section, provide the name of the facility, contact information, and the staff member completing the report along with their title.
3. Enter the date and time the incident was reported to the Office of Long Term Care (OLTC), including the date and time of the incident itself.
4. Indicate the type of incident by checking the appropriate boxes for neglect, abuse, or misappropriation of property, according to the definitions provided.
5. Complete the resident information by entering their full name, social security number, date of birth, height, weight, and current health status (alive or deceased).
6. In section II, provide a detailed description of the incident. Avoid vague statements and include time frames and specific details regarding the location and condition of involved parties.
7. In section III, summarize the findings of your investigation and describe actions taken to prevent further incidents. Ensure to include the resident's current medical condition.
8. Section IV requires noting who has been notified about the incident, including the facility administrator, family, doctors, and law enforcement. Fill out all necessary details.
9. Enter information about the accused party in section VI, including their name, job title, and any relevant background checks or licenses.
10. Finally, gather and attach necessary documentation such as witness statements or law enforcement reports. Ensure all attachments are legible.
11. After reviewing all entered information for accuracy, save your changes, and download, print, or share the completed form as needed.

Complete the DMS 762 form online today to ensure thorough documentation and compliance with reporting regulations.