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Offline Forms

You may download these forms and use them when you do not have immediate access to an Internet connection. Simply take a printout and copy the relevant information onto one of these forms. You can transfer the information into the system later or hand the completed form over to other authorized users of Therap who can get the information into the system for you.


General Event Reports

General Event Reports

Injury : Form-GER(a)

Witness Report (Restraint Related to Behavior)

Medication Error : Form-GER(b)

Restraint Related to Behavior : Form-GER(c)

Restraint Other : Form-GER(d)

Death : Form-GER(e)

Other : Form-GER(f)

Witness Report

Health Tracking

Intake/Elimination Input Form

Lab Test

Seizure

Appointments

Medication History

Skin/Wound Assessment

Blood Glucose

Menses

Vital Sign

Infection Tracking

Respiratory Treatment

Height/Weight

Individualized Plan of Protective Oversight and Safeguards

General Information

Work Center Safeguard

Residential Information

Individualized Services Safeguard

Day Program Safeguard

Supported Employment Safeguard

Individual Data Form & General Event Reports for Delaware Users

IDF for Delaware Users

GER - Restraint Other for Delaware Users

GER - Injury for Delaware Users

GER - Death for Delaware Users

GER - Medication Error for Delaware Users

GER - Other for Delaware Users

GER - Restraint Related to Behavior for Delaware Users

State Specific Information

New York State Specific Form - OMR 147

New York State Specific Form - OMR 148

Connecticut State Specific Information

Montana State Specific Information

Other Offline Forms

T-Log

Individual Data Form