Get Hi Dhs 1640 2015

The HI DHS 1640 form is essential for reporting suspected abuse and neglect of vulnerable adults in Hawaii. This guide provides a comprehensive step-by-step approach to ensure that your report is completed accurately and efficiently.

Follow the steps to fill out the HI DHS 1640 effectively.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin by filling out the reporter information section. Please provide your name, agency, and title, if applicable. Include your address and phone number, specifying if it is a direct number. Indicate your relationship to the alleged victim.
3. In the type of harm section, check all applicable boxes to describe the nature of abuse or neglect. Enter the date of the incident and specify the location.
4. Provide the vulnerable adult's details, including their name, date of birth, address, and gender. Note if they communicate verbally and their primary language, indicating if an interpreter is needed.
5. Document any disabilities seen in the vulnerable adult and describe their appearance and behavior in detail. Include any additional information regarding changes in behavior or appearance.
6. Detail the presenting concerns of the vulnerable adult, including any mental health concerns or substance abuse issues.
7. Identify the alleged perpetrator(s) by providing their name, age, and contact information, along with their relationship to the vulnerable adult.
8. Indicate whether the vulnerable adult has decisional capacity, providing reasons if they do not, and note any supporting documentation.
9. List any services or treatment history offered to the vulnerable adult or alleged perpetrator, providing contact information for service providers.
10. Outline the support system available for the vulnerable adult, with names and contact details of individuals or groups willing to assist.
11. In the narrative information section, describe the incident with specific details including dates and locations. Use additional pages if necessary.
12. Finally, sign the report, date it, and ensure your submission is complete. You can save changes, download, print, or share the form as needed.

To ensure the safety and well-being of vulnerable adults, please complete the HI DHS 1640 online accurately and promptly.