We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Shared Living Home Visits / Phone Contact Log

Get Shared Living Home Visits / Phone Contact Log

Ebruary March Member present March April Member present April May Member present May June Member present June July Member present July August Member present August September Mem.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Shared Living Home Visits / Phone Contact Log online

Filling out the Shared Living Home Visits / Phone Contact Log is essential for documenting required monthly home visits and phone contacts. This guide provides step-by-step instructions to help you accurately complete the online form, ensuring compliance with health and safety codes.

Follow the steps to complete the form effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the provider name in the designated field at the top of the form. This identifies the responsible provider for the visits.
  3. Document the date of each Home Visit and Phone Contact in the respective fields. Ensure to include the year alongside the date.
  4. For each month, check whether the member was present during the visit. Place a mark in the corresponding box labeled 'Member present' for each visit.
  5. Repeat the documentation for all twelve months of the year as required in the table provided.
  6. After completing all sections of the form, review the information for accuracy to ensure compliance with necessary documentation requirements.
  7. Once you have verified all entries, save your changes. You have the option to download, print, or share the completed form as needed.

Complete your Shared Living Home Visits / Phone Contact Log online today!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Shared Living | Department of Health and Human...
Shared Living allows an individual to live in a family-style setting and become a...
Learn more
Toolkit on State Actions to Mitigate COVID-19...
Jan 31, 2021 — nursing for a nursing home located in southeast Georgia shared its...
Learn more
Dormitory - Wikipedia
A dormitory is a building primarily providing sleeping and residential quarters for large...
Learn more

Related links form

WGAL/Whitaker Center "Weather Watcher Umbrella" - WGAL.com SUN LIFE RAINBOW MPF SCHEME MPF REMITTANCE STATEMENT Five Minute Frenzy Sample Questionare About Low Academic Performance

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Shared Living providers welcome an individual into their stable and caring home environment while providing an appropriate level of care and receiving an income to do so. Providers include single parents, retirees, widows/widowers – anyone with room in their heart and their home to share all that life has to offer.

Eligibility to Become a Shared Living Provider Age 21 or older; Possess a valid driver's license; Successful completion of a CORI, RMV and OIG background check; Own or rent your own home or an apartment; Able to provide personal care; Provider may be employed elsewhere;

Florida's supported living initiative started with approximately 200 participants. Today, over 2,700 persons participate in supported living. In Florida, and across the country, supported living is the fastest growing option for residential supports outside the family home.

Did you know biological parents can be their adult child's Shared Living Provider? Contact us to learn more about how you can receive support to care for your loved one in your own home.

Ch. 101; see Section 21 and Section 29) “MaineCare” is what Maine calls Medicaid. Section 21 of the MaineCare manual describes eligibility procedures and benefits for the comprehensive waiver and Section 29 of the manual describes work or day program supports. Section 29 came about as an alternative to Section 21.

A Shared Living Provider (SLP), previously called Extended Family Homes (EFH) in Nebraska, and sometimes called a "Host Home" is a community-based living option. A contractor with CSN provides supports to a person who comes to live in their home, and the residence effectively becomes the person's home.

Shared housing is defined as two or more people who live in one permanent rental housing unit, sharing costs associated with maintaining housing such as rent and utilities.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Shared Living Home Visits / Phone Contact Log
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232