Embedded Files
MEDICAL APPOINTMENT & TREATMENT FORM (This form must be uploaded to Lauris)
Medical Appointment Form TemplateAnnual Physical Exam Form (It's recommended to use the printout from the doctor's office instead)
Annual Physical Examination Form.pdfPRN/OTC Medications List for medical provider to sign
PRN:OTC Medication Form.pdfThese forms are to be completed and uploaded to Lauris every month:
These forms are to be completed and uploaded to Lauris every month:
Medication Disposal Form
MEDICATION DISPOSAL DOCUMENTATION.pdfMedication Transfer Sheet
Medication Transfer Sheet.pdfIf you like to use a checklist for your "To Do's":
If you like to use a checklist for your "To Do's":
Not required, but useful checklists to use in homes - great for DSP staff who are new
Not required, but useful checklists to use in homes - great for DSP staff who are new
These logs are incorporated into the note, but you may still print them and upload them monthly to Lauris if you prefer:
These logs are incorporated into the note, but you may still print them and upload them monthly to Lauris if you prefer:
Body Check Log
Body Chart.pdfBowel Movement Record
BOWEL MOVEMENT RECORD.pdfMonthly - Vital Signs Log
Monthly Vital Signs Flow Sheet.pdfWeekly Fluid Intake/Output Log
Weekly Fluid Intake and Output Log.docxBehavior Log
Behavior Log.docxIt Is Your Right Poster (Frame, hang in home) - Region 1 (Augusta County, Rockingham, Rockbridge, Bedford, Amherst)
Rights Poster .pdfIt Is Your Right Poster (Frame, hang in home) - Region 4 (Chesterfield County)
Rights Poster - Region 4.pdfIt's My Right! - pocket card
It's My Right! Pocket Card.pdfOHR-Regional-Map_11.13.23.pdfWeekly Activities Form (if you prefer to print it)
Weekly Activities.pdfPage updated
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