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The following are sample forms that providers can use for documentation. If you have any questions, please contact
Marci Slifko
.
Service Documentation Templates
OISP HPC Documentation Template (Word)
OISP HPC Documentation Template (PDF)
OISP Outcome Documentation Template (Word)
OISP Outcome Documentation Template (PDF)
OISP Shared Living Documentation Template (Word)
OISP Shared Living Documentation Template (PDF)
Transportation Doc Sheet Template (Word)
Transportation Doc Sheet Template (PDF)
Sample Documentation Form Day Hab 2020 (PDF)
Transportation
Vehicle Maintenance Checklist (PDF)
Employment Waiver
HSD-GED Waiver Request (Word)
HSD-GED Waiver Request (PDF)
Age Waiver Request (Word)
Age Waiver Request (PDF)
Provider Health and Safety Pledge
Health and Safety Pledge for IPs (XLSX)
Vendor Application (PDF)
OPERS PEDACKN Letter (PDF)
Health and Safety Pledge Invoice Template (PDF)
DSP Safety Guidelines and Agreements (PDF)
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