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Activity Manual > 03 Activity Forms (24 docs)

03 Activity Forms (24 docs)

Free Forms, caregiving, nursing forms, policies, Licensing, Training, Case Management, Home Care, Assisted Living, DD, MI, HCBS

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Documents in 03 Activity Forms (24 docs) (24)

Setting goals helps create a successful activity program.  This Form is used to help the Activity Director formulate goals for their department.

This form can be used in all types of community based care homes, nursing homes, and other types of care facilities. Activity Department Goals and Plans
Cover for Section 3 of the Activities Manual. Activity Forms Cover
Section Narrative for Activity Program Forms. Activity Program Forms
Form used to post the current community activity goals for the facility. Current Community Activity Goals
Form to keep track of attendance at group activities. Group Activities Attendance Record
Form to help plan group activities. Group Planned Activities
Form used to plan an event at your facility.

Title & Theme: Example: Hosting an Event
Independent Contractor Agreement Form. Independent Contractor Agreement
Independent Contractor Agreement sample to show how the form should be completed. Independent Contractor Agreement (Sample)
A thorough form covering payment, schedules, services to be performed, contractor tax identification number, etc. when using an Independent Contractor in your organization. Independent Contractor Questionnaire
This form is used to plan and map out activities. Monthly/Weekly Worksheet
This great form is a 2-page Outing Check Off List
Permission slip signed by a residents responsible party before taking them out on outings. Outing Permission Slip
Form for pet owner information.

Last Immunization (If applicable):
Visitation Information: Pet Owner Information for Community Care Facilities
This consent form is to get permission to use and reproduce of any photograph, digital video, multi-media format or other audio-visual materials for residents, staff and volunteers. For residential care and assisted living facilities. Photograph & Media Release Form for Community Based Care Homes
Form to get approval from a Physician for a special activity. Physician Approval for Special Activity
Area review to assure that your facility has a high quality activity program in place. Quality Assurance Area Review Report
A list of documents that should be kept by the Activity Director of a Care Facility. Required Activity Documentation
A form for the resident to list the goals he/she would like to achieve. 

When I need emotional support I know I can: ________________________________.
To enhance my knowledge or education I can: ________________________________. Resident Performance Goals Form
A form used to list the names of all residents going on an outing to check-off that all of the residents needs are being met before leaving. Resident Ready for Outing Check-off List
Pre-planning Activity Survey.  This simple form is designed to help the Activity Director periodically find out the current activity interests of the individual residents.  Interests can change for residents living in assisted living facilities, nursing homes, group homes and residential care communities.  This form will help the activity program keep up with residents' current interests. Resident(s) Activity Likes Survey Form
A special flyer to pass out when looking for resident support for planned activities. Special Flyer
Visitor Information form. Visitor Information
Form for visitors to sign in and out of the facility. Visitor Sign In and Out Record
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