Oklahoma Department of Human Services Forms

This Form is used for documenting qualifications to provide personal care services in Oklahoma.

This form is used for reporting recruitment incidents in Oklahoma. It helps to document and address any issues that have occurred during the recruitment process.

This document provides program notes for Title III projects in Oklahoma. It offers important information and guidelines for implementing specific programs aimed at improving various aspects of the state.

This Form is used for registering a Title III program in Oklahoma.

This Form is used for making a referral to the Title III Program in Oklahoma.

This Form is used for tracking the progress of personal care services provided under the State Plan in Oklahoma.

This document is an application packet for the Advantage Program in Oklahoma. It is used for applying for personal care services through the state plan.

This Form is used for submitting an invoice for adult day services in Oklahoma.

This form is used for providing additional cost information for the Advantage Program service plan in Oklahoma.

This Form is used for reporting monthly information about adult day services in Oklahoma.

This Form is used for creating service plan goals under the Advantage Program in Oklahoma.

This Form is used for the Advantage Program Service Plan Cost Sheet in Oklahoma.

This form is used for members of the Advantage Program in Oklahoma to create a negotiated risk agreement.

This document is used for evaluating the discharge of participants from the Advantage Program in Oklahoma.

This type of document is used for making environmental modification decisions for the Advantage Program in Oklahoma.

This Form is used for the Advantage Program Service Backup Plan in Oklahoma. It provides a plan to backup services for customers participating in the program.

This Form is used for the Service Provider Safety Agreement under the Advantage Program in Oklahoma to ensure the safety of service providers.

This form is used for assessing the level of function and environmental assessment for the Advantage Program in Oklahoma.

This Form is used for notifying a change in advantage services under the Advantage Program in Oklahoma.

This Form is used for requesting a Personal Emergency Response System through the Advantage Program in Oklahoma.

This form is used for keeping a record of service, attendance, and claims in Oklahoma.

This form is used for requesting bathroom grab bars through the Advantage Program in Oklahoma.

This Form is used for requesting nutritional supplements through the Advantage Program in Oklahoma.

This form is used for the screening and prioritization of the Uniform Comprehensive Assessment (UCAT) in Oklahoma.

This type of document is used for submitting documents for a Quality Assurance/Improvement Audit (QAI) in Oklahoma.

This Form is used for conducting a comprehensive medical assessment in the state of Oklahoma. It is part of the Uniform Comprehensive Assessment process.

This Form is used for Oklahoma residents to exercise their freedom of choice for personal care client services.

This form is used for Personal Care Client Freedom of Choice in Oklahoma.

This form is used for the Long-Term Care Ombudsman Program in Oklahoma to provide program assurance for designated entities.

This Form is used for transferring files in Oklahoma. It is a necessary document for individuals or organizations that need to send or receive files securely.

This document is an application for child support services in Oklahoma. It is used to request assistance from the state in establishing or enforcing child support orders.

This document is used for reporting services provided under Title III program in Oklahoma.

This Form is used for employers in Oklahoma to provide an initial notice to their employees. It includes information about the employer's rights and responsibilities under Oklahoma labor laws.

This Form is used for individuals and organizations in Oklahoma to enter into an agreement to safeguard federal tax information. It outlines the responsibilities and obligations related to the protection of this sensitive information.

This form is used for updating the address of record and providing a statement regarding family violence in Oklahoma.

This document is used to locate and define rights and responsibilities in Oklahoma.

This type of document is used for registering and/or declaring incidents of domestic violence in Oklahoma.

This Form is used for requesting a change or update to your address of record in Oklahoma.