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Log of weekly services 2011 form

Log of weekly services 2011 form-2025

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The document is a Service Log template for documenting weekly Personal Assistance Services (PAS) provided under the Community Choices Waiver. It includes sections for recording the provider agency name, direct service worker details, recipient information, daily arrival and departure times, tasks completed with initials, total hours worked, and progress notes. The log must be filled out by the direct service worker and signed by both the recipient or their representative and the worker. It emphasizes accurate documentation of services provided to ensure compliance with regulations.

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Versions	Form popularity	Fillable & printable
2021	4.6 Satisfied (54 Votes)
2018	4.3 Satisfied (84 Votes)
2015	4.3 Satisfied (316 Votes)
2011	4.3 Satisfied (58 Votes)

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