Shared Living Provider Documents

Home Provider Benefits

Income Tax Guide

Direct Care Brochure

GMSS Liberty Mutual Discount

General Information

Home Provider Packet Welcome Letter

Shared Living in Vermont

HIPAA Information

Mandatory Reporting

Monthly Calendar

Medical

Dental Exam Form

Medical Appointment Form

Physical Exam Record

Physician Visit Form

Residential Attendance

GMSS MAR (updated 2017)

Medication Incident Report (updated 2017)

Controlled Substance Disposal Record (updated 2017)

PRN Psychotropic Administration Incident Report (updated 2017)

Special Care Procedure Administration Record (updated 2017)

Seizure Activity Report (updated 2017)

Safety and Security

Emergency On-Call Information for Home Providers

Fire Escape Plan

Critical Incident Report (standard)

Critical Incident Report (long form)

Addendum to CIR

DAIL CIR Requirements

Client Information

Client Inventory Form

Record of Income

Consumer File Update

Contract Checklist

Home Provider Hiring Checklist

Home Provider Contact Info Form

Confidentiality Policy

93 James Road, Morrisville VT 05661

Phone: (802) 888- 7602

After Hours On Call Pager: (802) 741-7515

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