NEW

Temporary Changes to Criminal History Check Process - Updated 1/22/2021

Criminal History Check Request Form

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1:1 Staffing Record (Sample)
Activities Record (Sample)
Application for Employment (Sample)
Balancing Test for Psychotropic Medication (Sample)
Caregiver Training Log (Sample)
Checklist for Adult Foster Care License
Complaint Procedure (Must be posted)
Constipation Protocol (Sample)
Correcting Documentation Errors
Drug Disposal Record (Sample)
Emergency Phone Number List (Sample)
Emergency Plan Template (Fill-able)
Emergency Supply List (FEMA Brochure)
Financial Record and Ledger (Sample)
Fire Evacuation, Smoke and Carbon Monoxide  Detector Checks (Sample)
Floor Plan Guidelines
Getting your Home Ready for Licensing
Hot Water Can Burn (Oregon Burn Center Brochure) 
House Rules (Sample)
Incident Report - NEW 5/12/20
Individual Consent to HCBS Limitations
Mandatory Abuse Reporting for Adults
Medication Administration Record (Sample)
Menu (Sample)
Personal Property Record (Sample)
Physician Visit and Order Form (Sample)
Provider Applicant List of References
Resident Agreement Form
Resident Bill of Rights (Must be posted)
Resident Record Table of Contents (Sample)
Seizure Protocol (Sample)
Substitute Caregiver Orientation Record (Sample)
Training Requirements Summary
Variance Request Form

DHS/OHA Forms and Publications

ISP Forms and protocols

NEW

Temporary Changes to Criminal History Check Process - Updated 1/22/2021

Criminal History Check Request Form

Balancing Test for Psychotropic Medication 
Child Summary Sheet
Correcting Documentation Errors
Direct Deposit Form
Drug Disposal Form and Instructions
Emergency Exit Orientation
Emergency Phone Number List (Sample)
Emergency Supply List (FEMA Brochure)
Evacuation Drill Record
Household Fire Exit Plan
Incident Report Form - NEW 5/12/20
Individual Financial Record
Mandatory Abuse Reporting for Children
Medical Visit Form
Medication Administration Record (MAR)
Personal Property Record
Physician Order Form
Physician Order Terminology
Physician Visit and Order Form
Progress Notes
Professional Responsibilities of the Child Foster Provider
Remember the MAR
Resident Bill of Rights
Safety Assessment for Children with Adults Living in the Home
Table of Contents
Variance Request Form
Weight Record

ISP Forms and protocols

General Information for All Applicants
Intake Packet for a Child (Ages 0 - 17) 
Intake Packet for Adult (Ages 18 and Older) 

Información general para todos los solicitantes
Paquete de admisión para un niño (edades 0-17)
Paquete de admisión para adultos (mayores de 18 años)

NEW

Parent PSWs - Please review instructions carefully
New Parent PSW Packet
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Temporary Changes to the PSW Process
PSW FAQs
New PSW Enrollment Packet
Renewal Packet
Add Client Packet
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eXPRS How to Access and Login for First Time Users
eXPRS How to Reset Your Password
eXPRS User Enrollment Form
eXPRS User Enrollment Form Instructions
eXPRS Quick Guide for Online Billing System
eXPRS Status Definitions
Mandatory Abuse Reporting for Adults
Mandatory Abuse Reporting for Children
PSW New Provider Enrollment Form
PSW Timesheets and Payment Schedule

New - 9/8/2020
What You Need to Know as an EOR - English
What You Need to Know as an EOR - Russian
What You Need to Know as an EOR - Somall
What You Need to Know as an EOR - Spanish
What You Need to Know as an EOR - Vietnamese

Notice of Privacy Practices
Notice of Privacy Practices (Spanish)