File Downloads / Links

*Incident Report <a href="/sites/default/files/hcbs/files/92/4585/Incident_Reporting_.doc" target="_blank">Word</a>

A. DMR Incident Report form 255OH/Fam <a href="/sites/default/files/hcbs/files/92/4586/Att_A.doc" target="_blank">Word</a>

B. Definitions form 255OH/Fam <a href="/sites/default/files/hcbs/files/92/4587/Att_B.DOC" target="_blank">Word</a>

C. Instructions for completing report form <a href="/sites/default/files/hcbs/files/92/4588/Att_C.doc" target="_blank">Word</a>

D. Restraint Log OH/Fam <a href="/sites/default/files/hcbs/files/92/4589/Att_D.doc" target="_blank">Word</a>

E. Instructions for Completing Restraint Log <a href="/sites/default/files/hcbs/files/92/4590/Att_E.doc" target="_blank">Word</a>

F. DMR Missing Person form <a href="/sites/default/files/hcbs/files/92/4591/Att_F.DOC" target="_blank">Word</a>

G. DMR Missing Person form Instructions <a href="/sites/default/files/hcbs/files/92/4592/Att_G.doc" target="_blank">Word</a>

H. DMR Incident Report Follow-up Form <a href="/sites/default/files/hcbs/files/92/4593/Att_H.doc" target="_blank">Word</a>

*Incident Report <a href="/sites/default/files/hcbs/files/92/4594/Incident_Reporting.pdf" target="_blank">PDF</a>

A. DMR Incident Report form 255OH/Fam <a href="/sites/default/files/hcbs/files/92/4595/Att_A.pdf" target="_blank">PDF</a>

B. Definitions form 255OH/Fam <a href="/sites/default/files/hcbs/files/92/4596/Att_B.pdf" target="_blank">PDF</a>

C. Instructions for completing report form <a href="/sites/default/files/hcbs/files/92/4597/Att_C.pdf" target="_blank">PDF</a>

D. Restraint Log OH/Fam <a href="/sites/default/files/hcbs/files/92/4598/Att_D.pdf" target="_blank">PDF</a>

E. Instructions for Completing Restraint Log <a href="/sites/default/files/hcbs/files/92/4599/Att_E.pdf" target="_blank">PDF</a>

F. DMR Missing Person form <a href="/sites/default/files/hcbs/files/93/4600/Att_F.pdf" target="_blank">PDF</a>

G. DMR Missing Person form Instructions <a href="/sites/default/files/hcbs/files/93/4601/Att_G.pdf" target="_blank">PDF</a>

H. DMR Incident Report Follow-up Form <a href="/sites/default/files/hcbs/files/93/4602/Att_H.pdf" target="_blank">PDF</a>

Incident Reporting Forms and Policies: Connecticut

Wed, 09/04/2013 - 00:04

Article Publication Date

Wed, 05/31/2006 - 12:00

Summary

The Department of Mental Retardation (DMR) has established a system of reporting and monitoring incidents that occur with individuals served by the department in order to identify, manage and reduce overall risk for the individual. This procedure delineates a standardized process for reporting, documentation and follow-up of reportable incidents as defined, involving individuals served by the department. This reporting system helps implement individual plans and assists in quality oversight.

Topics

Types/Tools

Populations

Developmental/Intellectual Disabilities

Sources

Other

Grantee produced

Connecticut