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About Us
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Welcome to Family Touch
Welcome to Family Touch
Welcome to Family Touch
Monthly Progress Reporting
Monthly Progress Report
(pdf)
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Monthly Program Data Sheet & ISP Strategy UPDATED FILLABLE
(pdf)
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Current List of Medications
(pdf)
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OTC Administration Chart
(pdf)
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Medication Chart Updated - fillable
(pdf)
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Seizure Monitoring
(pdf)
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Diabetes Monitoring
(pdf)
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Medication Disposal Record
(pdf)
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Medical Dental Therapy Appointment Form
(pdf)
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Lab & Medical Imaging Appointment Form
(pdf)
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Physical Exam Appoint Form
(pdf)
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Monthly Ledger
(pdf)
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Quarterly Reporting
BTP Medication Reveiw
(pdf)
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DISCUS Screening Form
(pdf)
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Fire Drill Log Form
(pdf)
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Annually or As Renewed
Orientation to Client
(pdf)
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Standing Orders
(pdf)
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Physical Exam Appoint Form
(pdf)
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Medication Consent
(pdf)
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Inventory
(pdf)
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Medical Consent Form
(pdf)
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Photo Consent Form
(pdf)
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Statement of Rights
(pdf)
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Member forms
Incident Report Other- fillable
(pdf)
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Incident Report Medication Error-fillable
(pdf)
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Member Transfer Form
(docx)
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Medication Handoff
(pdf)
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Provider Forms
Renewal Application 2020
(pdf)
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Initial Application 1-21
(pdf)
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Caregiver Assessment Guide 2015
(pdf)
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Statement of Understanding 4-2023
(pdf)
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Criminal History Self Disclosure 10.2019
(pdf)
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Health Self Disclosure 2018
(pdf)
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Physician's Statement 2018
(pdf)
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Reference Request 2019
(pdf)
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Life Safety Inspection Report
(pdf)
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Household Member
New Household Member Checklist
(pdf)
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Health Self Disclosure 2018
(pdf)
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Physician's Statement 2018
(pdf)
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Criminal History Self Disclosure 10.2019
(pdf)
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Statement of Understanding LCR-1056A FORFF (4-15)
(pdf)
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Orientation to Client
(pdf)
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Respite Provider Policy & Training Manual
(pdf)
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Respite Providers
Respite Checklist
(pdf)
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Criminal History Self Disclosure 10.2019
(pdf)
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Respite Provider Policy & Training Manual
(pdf)
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Orientation to Client
(pdf)
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New Central Registry Check Form- Fillable
(pdf)
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