Home
Forms Library
Performcare incident report

Performcare incident report 2025

performcare incident report Preview on Page 1

Show details

4.8 out of 5

96 votes

The document is a Critical Incident Report form used to document significant incidents involving members in a behavioral health treatment setting. It includes sections for member and provider information, details of the incident, types of incidents that need reporting, outcomes, and actions taken to prevent future occurrences. The report also requires mandatory notifications to relevant authorities.

Here's how it works

01. Edit your performcare incident report online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send performcare incident via email, link, or fax. You can also download it, export it or print it out.

The best way to modify Performcare incident report in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on paperwork with our feature-rich and intuitive PDF editor is straightforward. Adhere to the instructions below to complete Performcare incident report online quickly and easily:

Sign in to your account. Log in with your email and password or create a free account to test the service before upgrading the subscription.
Import a document. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Performcare incident report. Quickly add and underline text, insert images, checkmarks, and signs, drop new fillable areas, and rearrange or delete pages from your paperwork.
Get the Performcare incident report completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others through a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to quickly handle your documentation online!

See more performcare incident report versions

We've got more versions of the performcare incident report form. Select the right performcare incident report version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (96 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How soon should an incident report be completed?

Patient incident reports should be completed no more than 24 to 48 hours after the incident occurred. You may even want to file the report by the end of your shift to ensure you remember all the incidents important details.

How do you write an incident report for a caregiver?

Write It Right Away: Write the report as soon as the incident happens. Stick to the Facts: Describe exactly what happened. Be Specific: Include details like the time, place, and exactly what happened. Report Injuries: If anyone was hurt, describe the injury and what was done to help.

How long does a caregiver have to file an incident report?

Additionally, California law requires you to file a Report of Traffic Accident Occurring in California (SR-1) with the Department of Motor Vehicles (DMV) within ten days if the accident caused injury, death, or significant property damage.

What are the 4 types of incident reports?

Incident reports can be categorized into four main types: injury, illness, near miss, and property damage. Each type serves a specific purpose and provides valuable insights into different aspects of workplace safety.

What are the 5 elements of an incident report?

It should include: the names and positions of the people involved. the names of any witnesses. the exact location and/or address of the incident. the exact time and date of the occurrence. a detailed and clear description of what exactly happened. a description of the injuries.