Hauv qab no koj yuav pom peb cov ntaub ntawv muab kev pabcuam. Siv lub npov tshawb nrhiav hauv qab no kom pom ib daim ntawv.
AB-1522 Vendor Rate Kho rau Employee Sick Leave (PDF)
AB-1522 (Excel)
ABC Narrative Record (PDF)
ABC Narrative Record (Lo lus)
Kev tso cai siv lossis nthuav tawm cov ntaub ntawv (PDF)
Kev tso cai siv lossis nthuav tawm cov ntaub ntawv (Lo lus)
Kev Tso Cai Rau Kev Siv lossis Tshaj Tawm Txog Kev Kho Mob (PDF)
Kev Tso Cai Siv lossis Tshaj Tawm Txog Kev Kho Mob (Lo lus)
Tus cwj pwm ntawm cov tib neeg uas koj txaus siab txais hauv koj qhov chaw (PDF)
Tus cwj pwm ntawm cov tib neeg uas koj txaus siab txais hauv koj qhov chaw (Lo lus)
Community Outings (Lo lus)
Competitive Integrated Employment Bonus Request (PDF)
Consumer Allergy Record (PDF)
Consumer Allergy Record (Lo lus)
Cov ntaub ntawv neeg siv khoom (PDF)
Consumer Information (Lo lus)
Consumer Interdisciplinary Notes (PDF)
Daim Ntawv Qhia Txhua Hnub-Skill Acquisition For Task Analyzed Behaviors (PDF)
Daim Ntawv Qhia Txhua Hnub-Skill Acquisition For Task Analyzed Behaviors (Lord)
Daim Ntawv Qhia Tshuaj Txhua Hnub (PDF)
Daim Ntawv Qhia Tshuaj Txhua Hnub (Lo lus)
DS5862 Kev Tshawb Fawb Niam Txiv rau Kev Tau Txais Kev Pab Cuam Cuam Tshuam (PDF nkaus xwb)
DS5862SPA Kev Tshawb Fawb Niam Txiv rau Kev Txais Kev Pab Cuam - Lus Mev (PDF nkaus xwb)
Daim Ntawv Teev Npe Kev Xa thiab Tau Txais Cov Neeg Siv Khoom (PDF)
Daim Ntawv Teev Npe Rau Kev Xa thiab Tau Txais Tus Neeg Siv Khoom (Lo lus)
Kev Ntsuam Xyuas Kev Tiv Thaiv Caij Nplooj Hlav (PDF)
FNRC Lub Hlis Xaus Xaus (Excel)
HCBS Modification Request (Lord)
Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv (PDF)
Health Report (Lord)
HIPAA - Muaj peev xwm tsis pub leej twg paub thiab kev nyab xeeb daim ntawv ceeb toom xwm txheej (Lo lus)
Inoculation Record (PDF)
Inoculation Record (Lo lus)
LIC405 Cov Ntaub Ntawv ntawm Cov Neeg Nyob Hauv Cov Nyiaj Ntsuab (PDF nkaus xwb)
LIC602 Daim Ntawv Qhia Tus Kws Kho Mob rau Cov Tsev Kho Mob Hauv Zej Zog (PDF nkaus xwb)
LIC610D Kev Npaj Khomob Kub Ceev rau Cov Kev Pabcuam Hnub Nyoog Rau Cov Neeg Laus, Cov Chaw Nyob Hauv Cov Neeg Laus, Cov Tsev Khomob Hauv Tsev rau Cov Tsev Kho Mob Mob thiab Kev Kho Mob (PDF nkaus xwb)
LIC610E Kev Npaj Khomob Kub Ceev rau Cov Chaw Saib Xyuas Chaw Nyob Rau Cov Neeg Laus (PDF nkaus xwb)
LIC613 Cov Cai Ntawm Tus Kheej Cov Cai Saib Xyuas Neeg Laus Hauv Zej Zog (PDF nkaus xwb)
LIC621 Client Resident Personal Property (PDF nkaus xwb)
LIC622 Centrally Stored Medicine (PDF nkaus xwb)
LIC9172 Kev Ntsuam Xyuas Muaj Peev Xwm Ua Haujlwm (PDF nkaus xwb)
Cov Ntaub Ntawv Kho Mob thiab-lossis Kho Hniav (PDF)
Cov Ntaub Ntawv Kho Mob thiab-lossis Kho Hniav (Lo lus)
Daim ntawv qhia txog tshuaj yuam kev (PDF)
Saib Xyuas Daim Ntawv Teev Npe (PDF)
Saib Xyuas Daim Ntawv Teev Npe (Lo lus)
Cov Ntaub Ntawv Qhia Txog Kev Ua Haujlwm (PDF)
Cov Ntaub Ntawv Qhia Txog Kev Ua Haujlwm (Lo lus)
Kev Them Nyiaj rau Zaub Mov thiab Khoom Noj Rau Cov Neeg Siv Khoom (PDF)
Kev them nyiaj rau pluas noj thiab khoom txom ncauj rau cov neeg siv khoom (Lo lus)
Cov Kws Kho Mob Kev Txiav Txim (PDF)
Cov kws kho mob cov tshuaj xaj (Lo lus)
Post Emergency Restraint Report (PDF)
Post Emergency Restraint Report (Lo lus)
Daim Ntawv Qhia Txog Tus Kheej thiab Kev Ruaj Ntseg Muaj Peev Xwm Txheej Txheem (Lo lus)
PRN Tso Cai Tsab Ntawv (PDF)
PRN Tso Cai Tsab Ntawv (Lo lus)
Daim ntawv qhia txog kev nce qib (PDF)
Daim ntawv qhia txog kev nce qib (Lo lus)
Daim Ntawv Qhia Tshuaj Tiv Thaiv Kab Mob (PDF)
Pom zoo teem caij txhaj tshuaj tiv thaiv (Lo lus)
Thov rau CEUs (PDF)
Thov rau CEUs (Lo lus)
Kev Ntsuas Tus Kheej Hauv Chaw Nyob (PDF)
Kev Ntsuas Tus Kheej Hauv Chaw Nyob (Lo Lus)
Kev Pabcuam Chaw Nyob Txuas Ntxiv Kev Kawm (PDF)
Kev Pabcuam Chaw Nyob Txuas Ntxiv Kev Kawm (Lo lus)
Kev Pabcuam Hauv Chaw Nyob (PDF)
Qhov Chaw Pabcuam Chaw Nyob (Lord)
Txoj Kev Npaj Khomob Tshwj Xeeb (PDF)
Txoj Kev Npaj Khomob Tshwj Xeeb (Lord)
Cov Cai ntawm Cov Neeg Siv Khoom - Lus Askiv (Lo lus)
Txoj Cai ntawm Cov Neeg Siv Khoom - Lus Askiv (PDF)
Txoj Cai ntawm Cov Neeg Siv Khoom - Spanish (PDF)
Cov Cai ntawm Cov Neeg Siv Khoom - Lus Mev (Lo lus)
SIR Reporting Form (PDF)
SIR Reporting Form (Lo lus)
SLS Consumer Unannounced Home Visit (PDF)
SLS Consumer Unannounced Home Visit (Lord)
Tus neeg muag khoom Electronic Billing Exclusion (PDF)
Tus neeg muag khoom Electronic Billing Exclusion (Lo lus)
Vouchered Adult Day Care - Daim Ntawv Qhia Tawm (PDF)
Vouchered Adult Day Care - Daim Ntawv Qhia Tawm (Lo lus)
Vouchered Child Day Care - Daim Ntawv Qhia Tawm (PDF)
Vouchered Child Day Care - Daim Ntawv Qhia Tawm (Lo lus)
Vouchered Nursing Services - Daim Ntawv Qhia Tawm (PDF)
Vouchered Nursing Services - Daim Ntawv Qhia Tawm (Lo lus)
Vouchered Respite Services - Daim Ntawv Qhia Tawm (PDF)
Vouchered Respite Services - Daim Ntawv Qhia Tawm (Lo lus)
Vouchered Services Billing Form - Lus Askiv (PDF)
Vouchered Services Billing Form - Lus Askiv (Lo lus)
Vouchered Services Billing Form - Spanish (PDF)
Vouchered Services Billing Form - Lus Mev (Lo lus)
Cov Ntaub Ntawv Qhov Siab (PDF)
Daim Ntawv Ceeb Toom Qhov Siab (Lo lus)