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Consumer Orientation Form

Consumer Orientation Form

Identification/Communication

Review the consumer’s:(Required)
Hidden
Review the consumer’s:(Required)
Hidden
Review the consumer’s:(Required)
Review PA’s:(Required)
Hidden
Review PA’s(Required)
Hidden
Review PA’s(Required)
Relationship to the consumer(Required)
Communication(Required)

Roles

What is the Consumer’s role in the CDPAP?(Required)
What is the Plan’s role in the CDPAP?(Required)
What is Caring Assistants role in the CDPAP?(Required)
Confirm who is directing care. (Select ONE) *(Required)
Changing who is directing care?(Required)
Scheduling
EVV
PA’s will be using (Select ONE):
Payroll
Limitations
PTO
Other Benefits
Quality Checks
Complaints/Grievances
COVID-19
Signature

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