The Department of Health and Mental Hygiene

    Appendix 7 Agency Investigation Report in Microsoft® Word

 

    Appendix 7 Agency Investigation Report - Addendum in Microsoft® Word

 

    Required Format for Incident Documentation Submissions

 

    Licensee Census Form in Microsoft® Word

 

    Policy and Procedure Certification in Microsoft® Word

 

    Staff Training Certification in Microsoft® Word

 

    Appendix 4 Incident Reporting Form in Microsoft® Word 
    Providers must use this form to report each serious reportable incident to OHCQ.

    Appendix 5 Quarterly Incident Report Form in Microsoft® Word

    Providers must use the Quarterly form to report behavioral incidents to OHCQ. The quarterly form must be
    submitted to OHCQ within 15 days of October 15, January 15, April 15, and July 15 of each year.

 

    See also: Developmental Disabilities Administration