Douglas County
Social Services

809 Elm St.
Suite 1186
Alexandria, MN   56308


320-762-2302
fax: 320-762-3833
TTY: 320-762-8151

 



 


 

 

 

 

Adult Foster Care Forms - Resident Information - Word format

 

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Adult Foster Home Program

Program Abuse Prevention Plan Guidelines

Adult Foster Care Resident Records Checklist

Report of Placement Admission

Privacy Practices Document

Authorize to Release Information

Resident Information

Request for Medical Report

Resident's Medication Record

Medication Record - Administered

Medication Record

Authorization to Give Injectable Medication

Medication Disposal Record

Maltreatment of Vulnerable Adults

Resident Rights - Legal Copy

Resident Rights - Resident Copy

Resident Rights - Provider Copy

Individual Resident Placement Agreement

Individual Abuse Prevention Plan Assessment

Mobility Access Assessment

Cash Resources Record

Incident Report

Report of Placement Discharge

Resident's Medication Assistance

Douglas County, Minnesota - Social Services Adult Foster Care Forms - Word