Get Wi Dhs F-62607 2017-2025

This guide provides clear, step-by-step instructions on how to complete the WI DHS F-62607 form online. Designed for users of all experience levels, it offers a thorough understanding of each section to ensure accurate completion.

Follow the steps to successfully complete your form.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editing tool.
2. In the first section, enter the consumer's name, date of birth (in mm/dd/yyyy format), and select the type of request (either New or Review). Specify the relevant funding program such as Family Care or Medicaid.
3. Complete the guardian's details by providing their name, telephone number, and address. Ensure all contact information is accurate for effective communication.
4. Indicate the consumer's current residence by checking the appropriate option (Personal/Family Residence or Licensed/Certified Provider). Fill in the address details if applicable.
5. If the proposed placement differs from the current residence, provide the necessary information about the new provider and their contact details.
6. Now, complete the section for the entity submitting the request. Include the name of the agency, the date of submission, and all relevant contact information.
7. Detail any proposed procedures or devices for restraint, isolation, or protective equipment. Clearly outline the purpose, plan, and desired outcomes for each item.
8. In the personal summary section, provide information about the individual's employment, support systems, health considerations, and any relevant medical history.
9. Describe the target behavior along with its frequency, intensity, and triggers. Attach any relevant documentation if necessary.
10. Outline previous support strategies or interventions, including outcomes, to provide context for the current needs.
11. Discuss current and proposed strategies, including risks and benefits, and plan for staff training and monitoring the implementation of the plan.
12. Ensure to fill in the review section, indicating who has provided input into the support plan. Names and signatures are required where marked.
13. Finally, save your changes, and consider downloading, printing, or sharing the form as necessary.

Complete your forms online to streamline the approval process today.