Get Or Dhs 0818 2007-2025

Filling out the OR DHS 0818 form correctly is essential for effective communication regarding incidents within assisted living and residential care facilities. This guide provides step-by-step instructions to help users navigate the form easily and ensure that all necessary information is included.

Follow the steps to fill out the OR DHS 0818 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the facility name, phone number, and address in the designated fields. This information is critical for identifying the report source.
3. Next, fill in the name and title of the person reporting the incident. Accurate reporting starts with ensuring the right individuals are identified.
4. Document the incident details, including the date and time it occurred. Be thorough to provide clear context about the incident.
5. Record the location of the incident and identify all residents involved. If necessary, use additional pages to include all involved individuals.
6. Specify if the residents have Medicaid and note their relevant diagnoses, if applicable. This helps in assessing the situation further.
7. List reported perpetrators who are not residents, providing their names, titles, and contact information, as well as their license or certificate numbers, if relevant.
8. Include witness information by capturing their names, phone numbers, and relationships or titles. Provide as much detail as necessary to support the investigation.
9. In the description section, clearly articulate the incident details and any injuries or adverse effects experienced by the residents. Be factual and concise.
10. Detail any immediate measures taken to protect the residents after the incident. This is important for accountability and safety.
11. Answer whether this incident has occurred previously and document any relevant history.
12. Finally, complete the report by entering the name of the person completing it, along with the date of the report. Once finished, users can save changes, download, print, or share the form as needed.

Complete your documents online to ensure timely and accurate reporting.