Provider Relations

FCBDD

Documentation Templates (all)

• Homemaker/Personal Care Documentation Sample
• Ohio Shared Living Documentation Sample

Major Unusual Incident- Unusual Incident (MUI-UI) Reporting Form This link opens a pdf in a new tab. (from DODD site)

Access to all related forms

• DODD MUI-UI Report Logs: This link opens a pdf in a new tab.
• Agency
• Independent