| Annual Guardian Report |
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| ASSESSMENT OF PERSONAL OUTCOMES MEASURES |
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| Assistant Conductor Self-Assessment of Personal Outcomes |
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| BUSINESS ASSOCIATE AGREEMENT |
| An Agreement to be signed by any Service Provider Organization that desires to do business with OMS. |
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| FEE SCHEDULE |
| The program delivery costs for the PQ tracking and monitoring system include the following:
ADMINISTRATION,
FACILITATION,
WEB HOSTING,
TRANSCRIPTION,
TRAINING AND ORIENTATION,
PROGRAMMING AND SYSTEM DESIGN,
SITE SECURIITY MONITORING,
1-866 ACCESS,
CONSULTING,
TRAVEL EXPENSES.
Monthly user fees:
0-99 $45. per user,
100-149 40. per user,
150-199 35 per user,
200-249 30 per user. Terms and conditions are negotiable. A one year (12 month pilot agreement) with a three year renewable contract is proposed.
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| Informed Consent |
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| Monthly Voicemail Call Tracking Sheet |
| All Program Coordinators are to use this form to track voicemail activity reports submitted by designated lead staff. Each consumer will recieve a GFR rating as indicated by the voicemail report to be entered into the Call Tracking Sheet.
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| New document |
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| PASSENGER ASSISTANT CONDUCTOR, DAILY EVALUATION |
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| RELEASE OF INFORMATION AUTHORIZATION |
| Authorization For The Release of Record Information |
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| Self-Assessment of Personal Outcomes |
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| SERVICE PROVIDER SURVEY |
| A survey to help us improve our service to you. |
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| SRC Psychological Assessment Referral Form |
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| TERMS USE AGREEMENT |
| Every Person that uses this website needs to read, print, sign and fax (signature page only) to OMS in order for to access the secured site |
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| TEST YOUR KNOWLEDGE |
| How much do you know about person directed planning? |
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| Weekly Summary of Significant Observations and Global Functioning |
| This Form is to be used by Lead Staff for weekly reporting of each person's previous week's activity |
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| YARD ASSISTANT CONDUCTOR, DAILY EVALUATION |
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