Get 06-11 Visitation And Community Participation Form - Mail Rsi-nc

Filling out the 06-11 Visitation And Community Participation Form is an important step in authorizing visitors for your family member or ward at Residential Services, Inc. This guide will walk you through the process of completing the form online, ensuring that all necessary information is captured accurately.

Follow the steps to successfully complete the form

1. Click the ‘Get Form’ button to obtain the form, opening it in your preferred editing tool.
2. Begin by entering the resident's name in the designated field at the top of the form. Ensure the name is spelled correctly to avoid any issues.
3. In the 'Record Number' section, input the record number associated with the resident. This information helps in the proper identification of your family member or ward.
4. As the parent, guardian, or legally responsible person, authorize individuals or staff from organizations who can visit or spend time with the resident. List their names in the 'Name of Approved Individual(s) or Organization’s Staff' field.
5. In the next column titled 'Relationship to the Resident,' indicate the relationship of each approved individual to the resident, such as friend, family member, or staff.
6. For each individual listed, answer the questions regarding authorization for transport. Indicate 'Yes' or 'No' for the ability to transport the resident away from the facility and for overnight visits.
7. Furthermore, provide authorization for each approved individual in terms of receiving and administering the resident’s medication by marking 'Yes' or 'No' as applicable.
8. Remember that you can modify the list of approved individuals at any time in the future. This flexibility allows you to keep the list updated as needed.
9. Once all sections are filled out, sign and date the form at the bottom by entering your name and the current date in the designated areas.
10. Finally, review all information for accuracy. After verification, you can make changes, download, print, or share the completed form as required.

Complete your form online today and ensure that your loved one has the support they need.