To open a pdf version of the form, click on "PDF"; to open a Word version of the form, click on "Word."

• AFC History & Physical Exam Form (71980-49 3/13) (Word) (PDF)
• AFC Incident Report (71980-62a 5/10) (Word) (PDF)
• AFC Medical-Dental Visit Order Form (71980-96 [P] 11/10) (Word) (PDF)
• AFC Mobility Access Assessments (71980-233 5/16) (Word) (PDF)
• AFC Resident Info (71980-36 7/16) (Word) (PDF)
• AFC Resident Rights (DHS 8/18) (Word) (PDF)
• Consent to Share a Bedroom with a Particular Person (71980-57 4/12) (Word) (PDF)
• Individual Abuse Prevention Plan-IAPP (DHS-16-180924 8/18) (Word) (PDF)
• Individual Resident Placement Agreement (71980-37 4/12) (Word) (PDF)
• Permission for Adult Foster Care Provider to Administer Medications (71980-52 4/12) (Word) (PDF)
• Physician's Statement for Medication Administration Assistance (71980-220 3/13) (Word) (PDF)
• Resident Monthly Cash Record (71980-27 11/10) (Word) (PDF)
• Vulnerable Adults Act Summary (DHS-306117 8/18) (PDF)