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Oklahoma Department of Human Services

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Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
 
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Adult/Child Abuse and Neglect Hotline: 1-800-522-3511

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OKDHS Home > Library > Forms > Forms and Applications for Services
Library: Forms
OKDHS Forms
To view these forms, please choose the associated icon under the View column. In order to view the forms correctly, site guests may need additional software. In some cases, forms are saved as .pdf or .doc files. To take full advantage of the OKDHS content, get the latest versions of Adobe Acrobat Reader or Microsoft Word Viewer from the Downloads and Plug-ins page.
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23 forms found     
View Form No.Results shown in ascending orderLegacy No.Form Name Category
Open Specialized Foster Care/Agency Companion Services Application (.doc, 2 pp, 574 KB)Open Specialized Foster Care/Agency Companion Services Application (.pdf, 2 pp, 191 KB)
06AC008E
DDS-8Specialized Foster Care/Agency Companion Services ApplicationDevelopmental Disabilities  
Open Site Visit Report (.doc, 1 pp, 656 KB)Open Site Visit Report (.pdf, 1 pp, 130 KB)
06CB035E
DDS-35Site Visit ReportDevelopmental Disabilities  
Open Monthly Summary of Restrictive/Intrusive Procedure Usage (.doc, 2 pp, 694 KB)Open Monthly Summary of Restrictive/Intrusive Procedure Usage (.pdf, 2 pp, 184 KB)
06CB055E
N/AMonthly Summary of Restrictive/Intrusive Procedure UsageDevelopmental Disabilities  
Open Residential Progress Report (.doc, 3 pp, 155 KB)Open Residential Progress Report (.pdf, 2 pp, 151 KB)
06CB062E
DDS-062Residential Progress ReportDevelopmental Disabilities  
Open Family Support Assistance Payment Services Application (.doc, 3 pp, 1318 KB)Open Family Support Assistance Payment Services Application (.pdf, 3 pp, 235 KB)
06DA031E
DDS-031Family Support Assistance Payment Services ApplicationDevelopmental Disabilities  
Open Referral Form for Examination or Treatment (.doc, 1 pp, 688 KB)Open Referral Form for Examination or Treatment Instructions (.pdf, 1 pp, 25 KB)
06HM005E
DDS-5Referral Form for Examination or Treatment Developmental Disabilities  
Open Semi-annual Psychotropic Medication Review (.doc, 3 pp, 835 KB)Open Semi-annual Psychotropic Medication Review (.pdf, 3 pp, 154 KB)
06HM067E
DDS-67Semi-annual Psychotropic Medication ReviewDevelopmental Disabilities  
Open In-Home Supports Waiver - Certificate of Competency (.doc, 2 pp, 840 KB)Open In-Home Supports Waiver - Certificate of Competency (.pdf, 2 pp, 139 KB)
06IS037E
DDS-037In-Home Supports Waiver - Certificate of CompetencyDevelopmental Disabilities  
Open In-Home Supports Waiver - Family Members Statement (.doc, 2 pp, 662 KB)Open In-Home Supports Waiver - Family Members Statement (.pdf, 2 pp, 140 KB)
06IS038E
DDS-038In-Home Supports Waiver - Family Member's StatementDevelopmental Disabilities  
Open Request for Developmental Disabilities Services (.doc, 5 pp, 1.1 MB)Open Request for Developmental Disabilities Services (.pdf, 5 pp, 277 KB)
06MP001E
DDS-1Request for Developmental Disabilities ServicesDevelopmental Disabilities  
Open Capacity Assessment (.doc, 1 pp, 1.2 MB)Open Capacity Assessment (.pdf, 17 pp, 641 KB)
06MP032E
N/ACapacity AssessmentDevelopmental Disabilities  
Open Guardianship, Advocacy, and Capacity Initial Review (.doc, 1 pp, 819 KB)Open Guardianship, Advocacy, and Capacity Initial Review (.pdf, 1 pp, 153 KB)
06MP033E
N/AGuardianship, Advocacy, and Capacity Initial ReviewDevelopmental Disabilities  
Open Guardianship, Advocacy, and Capacity Annual Review (.doc, 1 pp, 733 KB)Open Guardianship, Advocacy, and Capacity Annual Review (.pdf, 1 pp, 131 KB)
06MP034E
N/AGuardianship, Advocacy, and Capacity Annual ReviewDevelopmental Disabilities  
Open Incident Report (.doc, 2 pp, 204 KB)Open Incident Report (.pdf, 2 pp, 247 KB)
06MP046E
DDS-046Incident ReportDevelopmental Disabilities  
Open Employment Application Supplement (.doc, 1 pp, 720 KB)Open Employment Application Supplement (.pdf, 1 pp, 120 KB)
06PE039E
DDS-39Employment Application SupplementDevelopmental Disabilities  
Open Rights and Responsibilities of Community Services Worker in an Investigation of Maltreatment (.doc, 1 pp, 723 KB)Open Rights and Responsibilities of Community Services Worker in an Investigation of Maltreatment (.pdf, 1 pp, 120 KB)
06PE059E
DDS-59Rights and Responsibilities of Community Services Worker in an Investigation of MaltreatmentDevelopmental Disabilities  
Open Monthly Attendance Record (.doc, 3 pp, 1,471 KB)Open Monthly Attendance Record (.xls, 44 KB)
06WP044E
DDS-044Monthly Attendance RecordDevelopmental Disabilities  
Open Adult Day Services Progress Report (.doc, 5 pp, 172 KB)Open Adult Day Services Progress Report (.pdf, 5 pp, 144 KB)
06WP046E
N/AAdult Day Services Progress ReportDevelopmental Disabilities  
Open Exception Request for Waiver Employment Services (.doc, 2 pp, 683 KB)Open Exception Request for Waiver Employment Services (.pdf, 2 pp, 163 KB)
06WP047E
N/AException Request for Waiver Employment ServicesDevelopmental Disabilities  
Open Employment Progress Report (.doc, 2 pp, 1.2 MB)Open Employment Progress Report (.pdf, 2 pp, 181 KB)
06WP066E
DDS-066Employment Progress ReportDevelopmental Disabilities  
Open HB 1094 Compliance Report (.xls, 27 KB)
HB1094CR
N/AHB 1094 Compliance ReportDevelopmental Disabilities  
Open HB 1094 Compliance Report Instructions (.pdf, 4 pp, 37 KB)
HB1094E
N/AHB 1094 Compliance Report InstructionsDevelopmental Disabilities  
Open HB 1094 Compliance Report Provider Letter (.pdf, 1 pp, 53 KB)
HB1094PL
N/AHB 1094 Compliance Report Provider LetterDevelopmental Disabilities  
   


Last Updated:  7/14/2010
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
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