Comprehensive Assessment Reporting Evaluation (CARE) tool

  > More Info
Author: | 2003 | 1136 Requests
Source: Grantee produced, Washington, Aging and Adult Services Administration
Available Files:

• CARE Overview Word (78K)
• CARE Overview PDF (127K)
• Eligibility & Rates for Long Term Care Word (4,347K)
• Eligibility & Rates for Long Term Care PDF (3,788K)
• CARE Tool PDF (314K)

Individual Support Plan System

  > More Info
Author: | 2003 | 1156 Requests
Source: Grantee produced, Oregon, Office of Home & Community
Available Files:

• Aspiration Protocol Word (113K)
• Aspiration Protocol PDF (40K)
• Constipation Protocol Word (145K)
• Constipation Protocol PDF (44K)
• Dehydration Protocol Word (105K)
• Dehydration Protocol PDF (50K)
• Financial Plan Word (104K)
• Financial Plan PDF (26K)
• Individual Support Plan Word (520K)
• Individual Support Plan PDF (76K)
• ISP Addendum Word (160K)
• ISP Addendum PDF (31K)
• Personal Focus Worksheet Word (930K)
• Personal Focus Worksheet PDF (369K)
• Risk Training Record Word (666K)
• Risk Training Record PDF (177K)
• Seizure Protocol Word (144K)
• Seizure Protocol PDF (35K)
• Signature Sheet Word (66K)
• Signature Sheet PDF (33K)

Inventory of Community Service and Support Needs for Transition from Nursing Facilities to Community

  > More Info
Author: | 2002 | 254 Requests
Source: ARCIL/Texas Independent Living Partnership, Grantee produced
Available Files:

• Inventory Form Word (57K)
• Inventory Instructions Word (74K)

Texoma Real Choice Program: System Navigators-Overview, Presentation, Forms and Survey

  > More Info
Author: | 2001 | 1350 Requests
Source: Texoma Real Choice Program, Grantee produced
Available Files:

• A. Introduction to Texoma Letter PDF (19K)
• B. Texoma Real Choice Program Overview PDF (1,658K)
• B. Texoma Real Choice Program Overview PowerPoint (956K)
• C. Sample In-House Job Description PDF (45K)
• D. Referral Form PDF (42K)
• E. Presurvey Form PDF (25K)
• F. Intake Form PDF (47K)
• G. Information Release PDF (41K)
• H. Client Needs Assessment Questionnaire PDF (78K)
• I . Referral/Authorization Form PDF
• J. Care Plan PDF (35K)
• K. Withdrawl of Permission Form PDF (33K)
• L. Post Service Customer Survey PDF (28K)
• M. Intake & Referral Form PDF (33K)

Transition to Freedom

  > More Info
Author: Arkansas Division of Aging and Adult Services | 2001 | 218 Requests
Source: Arkansas Division of Aging and Adult Services, Grantee produced
Available Files:

• Manual PDF

Alabama "Partnerships to Independence" Transition Guide

  > More Info
Author: | 2000 | 260 Requests
Source: Birmingham, AL ILC
Available Files:

• Transition Guide Word

Considerations For Service Planning

  > More Info
Author: | 2000 | 129 Requests
Source: New Jersey Department of Health and Senior Services
Available Files:

• Questionnaire Word (191K)

Heart of Texas Regional Access System (HOTRAS) - Program Forms

  > More Info
Author: | 2000 | 239 Requests
Source: HOTRAS/ real choice
Available Files:

• Consumer Flow Chart PDF (903K)
• Intake and Referral Form Text (1K)
• Participation Agreement Text (8K)
• Referral Protocol Text (3K)
• Release of Information Form Text
• Withdrawal of Permission to Share Information Text (1K)

NJ "Client Employed Provider" Job Description, Task Responsibilities, Policies, Checklist

  > More Info
Author: | 2000 | 276 Requests
Source: New Jersey Dept. of Health and Senior Services
Available Files:

• Employer Checklist Word (26K)
• Job Description Word (44K)
• Policies Word (45K)
• Task Responsibilities Word (47K)
• Training Objectives Word (19K)

Use of Client-Employed Providers: Participant's Capacity for Self-Direction

  > More Info
Author: | 2000 | 91 Requests
Source: New Jersey
Available Files:

• Assessment questions Word