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    • Home
    • About Us
      • Our Mission
      • Our History
      • Area Agencies
      • Strategic Plan 2018-2020
      • Staff
      • Board of Directors
    • Advocacy
      • Legislative Updates
      • Get Involved
      • Corrective Action Plan
      • Contact Your Legislator
      • Look up a Bill
    • News & Events
      • News
      • Upcoming Events
      • Future Trainings/Webinars
      • Webinar Recordings
    • Services
      • Advocacy & Gov. Relations
      • Support Intensity Scale
      • Intake & Eligibility
      • Intensive Treatment (ITS)
      • Information Services
      • Statewide Committees
      • Group Purchasing
      • National Core Indicators
    • Resources
      • New Hampshire Resources
      • National Resources
      • Cities/towns per Region
      • Statewide Forms
    • Contact Us
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Community Support Network, Inc.

The Association for New Hampshire's Ten Area Agencies

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Uniformity of Practice Documents

HRC-Authorization Page_2016-09 (pdf)
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HRC-Authorization Page- Directions_2016-09 (docx)
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Behavior Plan Requirements_2016-09 (pdf)
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Nursing Medical Intervention Report (docx)
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Weekly Service Notes (best practice but not required) (doc)
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Monthly Progress Report (best practice but not required) (doc)
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Medication Occurrence Form-Statewide Template_2017 (doc)
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Medication Occurrence Form-Directions_2017 (doc)
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Restraint Form- Statewide Template_2016-09 (pdf)
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Restraint Form- Directions_2017 (pdf)
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Incident Report (docx)
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Incident Report- Directions (pdf)
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Complaint Investigation Response-Template_2017-08 (docx)
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Complaint Investigation Response-Directions_2017-08 (docx)
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Fire Drill Form_2017-08 (doc)
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Fire Drill Form- Directions_2017-08 (doc)
Download
ITS Global Consent for Visitation (docx)
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ITS Site Visit Sheet - Electronic Completion (docx)
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ITS Site Visit Sheet - Handwritten Completion (pdf)
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Nursing Evaluation of Transition Form_2017 (doc)
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Nursing Evaluation of Transition-Directions_2018-05 (doc)
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SC 5 Day Visit Form_2017 (doc)
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SC 5 Day Visit Form-Directions_ 2018-04 (doc)
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Seizure Report- Template_2017-10 (doc)
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Seizure Report- Directions_2018-05 (doc)
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