Get Ar Dhs 1910 2005-2025

The AR DHS 1910 form is an essential document for reporting incidents within the Division of Human Services. This guide provides a straightforward approach to completing the form accurately and efficiently.

Follow the steps to successfully complete the AR DHS 1910 form.

1. Click ‘Get Form’ button to access the form and open it in your preferred digital environment.
2. Begin by entering the type of report. You will find options such as initial written, follow-up, or final report. Select the appropriate box based on the nature of your report.
3. Fill in the date and time related to the incident and ensure to include any follow-up dates if applicable.
4. Specify the name of the Division Director or Designee to whom the report is directed, along with their division.
5. Complete the 'FROM' section by providing your name, the provider or program name, and a contact telephone number.
6. Indicate the type of service or program involved, such as mental health or residential services.
7. In the 'Other Notifications' section, list any individuals or organizations notified about the incident, along with the method, date, and time of communication when appropriate.
8. Identify the victim, complainant, or subject of the report by checking the applicable boxes and providing their name, date of birth or age, race, and gender.
9. Document the date, time, and place of the incident in the designated sections.
10. Select the applicable type of incident from the provided options, including suspected causes and any follow-up actions needed.
11. Complete the designation of the incident section, checking all applicable boxes to describe the nature of the incident.
12. List the roles and names of others involved, ensuring to provide detailed identifying information for each individual.
13. Write a clear and concise narrative description of the incident, addressing the key aspects of who, what, when, where, why, and how.
14. Indicate if the incident could have been prevented, selecting 'yes' or 'no' and providing an explanation if necessary.
15. Document findings, outcomes, or case dispositions, including any corrective actions or preventive plans that are relevant.
16. Review your entries for accuracy and completeness before saving your changes, downloading the document, or preparing it for printing or sharing.

Complete your forms online efficiently and accurately to ensure timely reporting.