Form 1732 PDF Details

Understanding the intricacies of the Texas Department of Aging and Disability Services Form 1732, as of January 2007, is pivotal for navigating consumer-directed services effectively. This form stands as a cornerstone in managing the relationship between service providers, whether employees or contractors, and the individuals receiving services. It meticulously outlines the necessary steps for initial orientation, ongoing training, and evaluations at various intervals, including 30 days, 3 months, and 6 months, ensuring both the service provider and the consumer-directed services employer remain aligned on expectations and service quality. The form goes further to address supervision requirements, verbal and written warnings, conflict resolution processes, and other essential aspects of service provision. Satisfaction metrics gauge both the individual's and the employer's contentment with the services received, enhancing accountability and facilitating discussions for improvement or conflict resolution. The form culminates in an agreement section where actions taken or follow-ups are scheduled, signed off by the service provider, the employer or their designated representative, and potentially a witness. This comprehensive document is not just a form but a tool for continual assessment and enhancement of service quality, marking significant dates like the first day of work and annual evaluation due dates, and fostering a collaborative, responsive approach to consumer-directed services.

QuestionAnswer
Form NameForm 1732
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 1732 pdf, form 1732, 1732 form, form 1732 dads texas

Form Preview Example

Texas Department of Aging

 

 

 

Form 1732

and Disability Services

 

 

 

January 2007-E

 

Consumer Directed Services

 

 

 

Management of Service Provider

 

 

 

 

 

Service Provider Name (Employee or Contractor)

 

Provider Type

 

Today's Date

 

 

Employee

Contractor

 

 

 

 

 

 

Name of Contracted Entity (if applicable)

 

First Day of Work

 

Annual Evaluation Due Date

 

 

 

 

Name of Individual Receiving Services

 

Name of Consumer Directed Services Employer

 

 

 

 

 

Purpose of Form

 

 

Initial Orientation

Ongoing Training

Evaluation

 

 

30-Day

3-Month

6-Month

Supervision

Verbal Warning: 3-Month 6-Month

Written Warning: 3-Month 6-Month

Conflict Resolution

Other

Annual

Annual Annual

Other

Other Other

Satisfaction

Is the individual satisfied with the services provided by the service provider?..........................................................................

Is the employer satisfied with the services provided by the service provider?...........................................................................

Yes No Yes No

Employer Comments:

Service Provider Response:

Agreement/Resolution:

Action Taken/Follow-Up Scheduled:

Acknowledgement/Agreement Between Service Provider and Employer:

Effective Date of Action to be Taken:

Signature - Service Provider

Date

Signature - Employer or Designated Representative

Date

Signature - Witness/Other

Date

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If you want to complete this form, make sure that you type in the necessary information in each and every blank:

1. The form 1732 phc will require particular information to be entered. Be sure the subsequent fields are completed:

Step number 1 in filling in form 1732 pdf

2. Right after completing the last step, go to the next part and fill out the essential details in these blanks - Service Provider Response, AgreementResolution, Action TakenFollowUp Scheduled, AcknowledgementAgreement Between, Effective Date of Action to be, Signature Service Provider, and Date.

Part no. 2 of completing form 1732 pdf

3. This third section is generally pretty easy, Signature Employer or Designated, Date, Signature WitnessOther, and Date - all of these blanks needs to be filled out here.

Filling out part 3 in form 1732 pdf

A lot of people generally make mistakes while filling out Date in this part. Be sure to read twice what you type in here.

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