AFH Incident Report - Western Wisconsin Cares 2026

1. Click ‘Get Form’ to open the AFH Incident Report in the editor.
2. Begin by entering the Member Name and Social Worker’s name in the designated fields at the top of the form.
3. Fill in the Date and Time of the incident, ensuring accuracy for proper documentation.
4. Provide details about what was occurring prior to the incident. Use clear and concise language to describe activities.
5. Indicate where the incident took place, specifying location details for clarity.
6. Describe the incident itself and your response. Include actions taken immediately after the incident occurred.
7. List everyone who was nearby during the incident to ensure all witnesses are accounted for.
8. Indicate whether medical attention was required by selecting 'Yes' or 'No' and provide details if applicable.
9. If no medical attention was needed, explain how that decision was made and any follow-up actions taken.
10. Conclude by describing preventive measures that could have been implemented to avoid similar incidents in the future.

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