OKLAHOMA DEPARTMENT OF HUMAN SERVICES
Developmental Disabilities Services Division
P.O. Box 25352
Oklahoma City, OK  73125
(405) 521-3571

August 13, 2010

Dear Provider:

Please find the attached Form 06CB062E Provider Progress Report. This form can be used to report quarterly progress of outcomes/action steps for which the provider has been assigned responsibility in the Individual Plan. DDSD recommends, but does not require, the use of this form.   

This form replaces the Employment Progress Report (former Form 06WP066E) and the Residential Progress Report (former Form 06CB062E). 
 

Please address the following:

• whether or not services were implemented as specified in the Individual Plan, including frequency and duration
• whether or not any outcomes have been achieved
• include a summary of progress for those outcomes/action steps the service recipient is still working on (those that have not yet been achieved) regardless of the format you use to report progress

Please do not include other documentation such as medication administration records, daily intake/output records, data collection sheets, sleep records, activity calendars, etc., unless specifically required by the Individual Plan.

If you have any questions, please contact Beverly Murray at (405) 522-5253.

Sincerely,

James M. Nicholson, Director
Developmental Disabilities Services Division