Get La Dhh Ocddwss-pf-09-002 2010-2025

Filling out the LA DHH ocddwss-pf-09-002 form is an essential step in reporting critical incidents related to Home and Community Based Services for individuals with developmental disabilities. This guide will provide you with clear instructions on how to complete this form online effectively and accurately.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the LA DHH ocddwss-pf-09-002 form and open it in the editor.
2. Begin by entering the participant identifying information in the designated fields. This includes the participant's first name, middle name (if known), last name, address, city, state, region, date of birth, telephone number, and social security number.
3. Provide the name and contact information of the family or legal guardian. It is crucial to also include their relationship to the participant.
4. For service type, select the appropriate option from the provided categories such as NOW, CC, SW, ROW, State Funded.
5. Indicate the marital status of the participant by selecting from single, married, divorced, separated, or widowed.
6. Select the participant's race from the provided options, ensuring to respect the privacy and dignity of the individual.
7. Identify the disabilities the participant may have by checking all that apply from the list of conditions.
8. Fill in the living situation and legal status of the participant, ensuring you accurately describe their current living arrangements.
9. Document the incident information, including the date, time, and location of the incident along with when it was discovered.
10. Describe the incident in detail, addressing who was involved, what happened, when and where it took place, and any other relevant information.
11. If additional pages are necessary, number, date, and sign each page accordingly.
12. Complete the follow-up section by providing any necessary information regarding medical appointments or other follow-up actions taken.
13. Once all sections are completed, ensure to review the form for accuracy. Finally, save changes, and you may choose to download, print, or share the form as needed.

Complete the LA DHH ocddwss-pf-09-002 form online today to ensure timely reporting of critical incidents.