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CLCM Oregon :: FOSTER CARE LINKS AND FORMS

Foster Care


Non-relative foster homes for people with developmental disabilities in Josephine, Douglas, Curry and Coos County provide care and services in a safe, secure, home-like environment.  Care includes 24 hour supervision, the provision of room and board, and assistance with activities of every day living.

Classes

This link takes you to a page that lists the upcoming training opportunities, as well as a variety of self-study material that can be count toward the annual training requirement.

To register for a brief informational meeting on becoming an adult foster home provider please contact: 

Gail Renius
Phone: (541) 226-7300 ext. 11

Forms


Fire Evacuation Drill Record:

Important Phone Numbers:

Incident Report:

Medication Admin Record

Medical Appointment Log:

Menu Calendar:

Personal Property:

Physician Visit Order and Balancing Test:

Progress Notes:

Records Retention for AFHs:

Resident Account Record:

Resident Bill of Rights:

Resident Bill of Rights with Signature:

Application for Employment:

Substitute Caregiver Orientation Record:

Mandatory Written Notice of Exit

download for:  PDF

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