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Instructions for Form 1201-B Six-Month Provider Agency Report to Nh Bureau of Developmental Services Medication Committee - New Hampshire
This document contains official instructions for Form 1201-B , Six-Month Provider Developmental Services Medication Committee - a form released and collected by the New Hampshire Department of Health and Human Services.
FAQ
Q: What is Form 1201-B?
A: Form 1201-B is a report required by the NH Bureau of Developmental Services Medication Committee.
Q: Who needs to submit Form 1201-B?
A: Provider agencies that serve individuals with developmental disabilities in New Hampshire.
Q: What is the purpose of Form 1201-B?
A: The form is used to report medication data for individuals receiving services from the provider agency.
Q: When is Form 1201-B due?
A: The report is due every six months.
Q: What information is required on Form 1201-B?
A: The form requires information about medication administration, adverse reactions, and changes in medications.
Q: How should Form 1201-B be submitted?
A: The form should be submitted electronically through the designated NH Bureau of Developmental Services Medication Committee portal.
Q: Are there any penalties for not submitting Form 1201-B?
A: Failure to submit the report may result in consequences such as compliance monitoring or possible loss of certification.
Instruction Details:
- This 2-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the New Hampshire Department of Health and Human Services.
Download Instructions for Form 1201-B Six-Month Provider Agency Report to Nh Bureau of Developmental Services Medication Committee - New Hampshire
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