Dhhs reportable incident form maine
WebReport Methods. 1. If you are a Mandated Reporter you are required by law (22 M.R.S. § 3477) to call 1-800-624-8404 to make a report to Adult Protective Services. 2. If you are not a mandated reporter, you can call 1-800-624-8404 (24-hour, Toll Free) or Maine Relay 711 to report abuse, neglect, or exploitation or complete the online form below. WebDepartment of Health and Human Services 109 Capitol Street 11 State House Station Augusta, Maine 04333. Phone: (207) 287-3707 FAX: (207) 287-3005 TTY: Maine relay 711
Dhhs reportable incident form maine
Did you know?
WebWe would like to show you a description here but the site won’t allow us. WebThis form can be used to notify parents of incidents and a copy should be kept in the child’s file. When completing this form, please maintain the confidentiality of other children who …
WebThe CRCF services application, directions, and Provider Guide, are available at Maine ASO Children’s Residential Care Facility (CRCF) Services. Please contact the Kepro intake team with any referral process questions at 1-866-521-0027 or [email protected]. WebEdit Maine reportable event form long term care. Easily add and highlight text, insert images, checkmarks, and signs, drop new fillable areas, and rearrange or delete pages from your paperwork. Get the Maine …
WebThis form can be used to notify parents of incidents and a copy should be kept in the child’s file. When completing this form, please maintain the confidentiality of other children who may have been involved. The . copy . of the incident report in the child’s file must be signed by the parent/guardian.
WebMaine DHHS – Office of Aging ... Reportable Events must be received by DHHS within 1 business day of the event Dangerous Situation 14-197 CMR CH12 2A xvi ... Type of …
WebThis form is used to report any HAI-related event or organism (s) to the Nebraska Department of Health and Human Services. Upon your submission, one of the … granger christian academyWebE-mail: [email protected]. If you wish to file a complaint against a Certified Health Facility, please contact: NH Department of Health & Human Services Health Facility Certification Unit 129 Pleasant Street Concord, NH 03301-3857 Telephone: (603) 271-9049 E-mail: [email protected] chinet section paper platesWebThis form is used to report any HAI-related event or organism (s) to the Nebraska Department of Health and Human Services. Upon your submission, one of the epidemiologists will contact you for further information within 24 hours. If you do not receive a call or email, please call (402) 471-7043 or (531) 530-7407. granger christmas tree farmWebreportable event forms in maine section 21 maine dhhs aging and disability maine elderly care maine department of behavioral and developmental services oads maine reportable incident form for … granger church colorado springsWebFacilities that formerly utilized the DHHS Incident and Death Report form are now expected to enter the information with the on-line reporting system. We will continue to … granger city brewing companyWebMaine DHHS – Office of Aging ... Reportable Events must be received by DHHS within 1 business day of the event Dangerous Situation 14-197 CMR CH12 2A xvi ... Type of disaster: Fire Flood Natural Disaster Other Incident that caused displacement (Specify): _____ SIGNATURE ... granger christmas tree farm mexico nyWeb8. Required report of residence with nonfamily. A person required to make a report under subsection 1 shall report to the department if the person knows or has reasonable cause … chinet plastic cups