"Unusual Incident Monthly Report Log for Independent Providers "
Form Template
All information needed to complete the Unusual Incident Monthly Report Log for Independent Providers
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mobile app should come from the corresponding incident report that has already been completed. Each independent provider shall review all unusual incidents as necessary, but no less than monthly to ensure appropriate preventative measures have been implemented and trends and patterns identified and addressed as appropriate. The log shall include, but is not limited to, the name of the individual, a brief description of the unusual incident, any injuries, time, date, location, and preventative measures. This app should be completed, reviewed, and stored by an independent provider.
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