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  • La Oaas-pf-10-010 2015

Get La Oaas-pf-10-010 2015-2025

Time W/ Initials→ PARTICIPANT DOB: Through: Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1st Departure Time W/ Initials→ 2nd Arrival Time W/ Initials→ 2nd Departure Time W/ Initials→ ↓ Tasks ↓ ↓ Indicate Task Completed Each Day W/Initials ↓ Eating Bathing Dressing Grooming Transferring Ambulation Toileting Light Housekeeping Food Preparation & Storage Shopping Laundry Medication Reminders Assist To Sched Med Appts Assist To Arrange Med Trans Accompany To Med.

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How to fill out the LA OAAS-PF-10-010 online

Filling out the LA OAAS-PF-10-010 form accurately is essential for documenting and managing long-term personal care services. This guide will provide clear instructions to help you navigate the online form efficiently.

Follow the steps to complete the form online:

  1. Click the ‘Get Form’ button to access and open the LA OAAS-PF-10-010 form in your preferred editor.
  2. Begin by entering the provider agency name in the designated field at the top of the form. Ensure you spell it correctly to avoid any issues.
  3. Fill in the direct service worker’s name. This section requires the worker’s full name to ensure proper identification.
  4. Input the participant's name in the next field. This is the individual receiving services and must match official documentation.
  5. Record the week of service in the appropriate space, specifying both the starting and ending dates for clarity.
  6. For each day of the week, note the arrival and departure times along with the initials of the service worker. This is critical for tracking the hours worked.
  7. Indicate the tasks completed each day by using initials next to the relevant tasks in the list provided. Ensure accuracy in what was accomplished.
  8. Calculate and enter the daily total number of hours worked, followed by the weekly total number of hours for long-term personal care services at the end of the week.
  9. Obtain the necessary signatures. The participant, their designated personal representative or legal representative, and the direct service worker need to sign and date the form in their respective sections.
  10. If needed, use page 2 of the form for additional descriptions and comments regarding daily services and supports. Complete this section as necessary.
  11. Once all fields are completed, you can save changes, download a copy, print the document, or share it as needed.

Complete the LA OAAS-PF-10-010 form online today to ensure accurate documentation of long-term personal care services.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232