Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it in your browser.
2. Begin filling in the form by entering the appropriate codes for each activity in the designated sections. Ensure you refer to the provided keys for the Self-Performance and Support Provided criteria.
3. For each day of the month, record the initials for the initial ‘Int’ box next to the corresponding activity to indicate when observation or participation occurred.
4. Place the key value for Self-Performance in the upper left corner of each shift box. This key indicates the level of assistance provided for the activity.
5. In the lower right corner of each shift box, enter the Support Provided key value to reflect the physical assistance received by the resident.
6. Ensure that you complete all sections of the form and double-check for accuracy before proceeding to the final steps.
7. At the conclusion of the form, you must include your initials and full signature along with your title to authenticate your entries.
8. Once everything is complete, you can save your changes, download, print, or share the form as needed.

Take action today and complete your documents online using this guide.