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How to use or fill out adhs incident report with our platform
- Click ‘Get Form’ to open the adhs incident report in the editor.
- Begin by filling in the 'Behavioral Health Facility Name' and 'License#'. Ensure all information is accurate and clearly typed.
- In the 'TYPE OF REPORT' section, check all applicable boxes such as Death, Accident, or other specified incidents. This helps categorize the report correctly.
- Provide detailed information about the enrolled or non-enrolled behavioral health recipient involved in the incident, including their name, address, age, and diagnosis.
- Document the 'INCIDENT DETAILS', including date, time, location, and a description of what occurred. Be thorough to ensure clarity.
- Complete sections regarding individuals who observed the incident and describe their relationship to the person involved.
- Finally, ensure that all required signatures are obtained in the 'CLINICAL DIRECTOR’S OR DESIGNEE’S REVIEW OF INCIDENT' section before submitting.
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