Documents/Forms

Find all documents and forms you are looking for on this page. You can also download the PDF version!

  • Act 196 of 1996 - Information on Act 196 that requires criminal history background checks for employees of NH, PCH, Dom Care, Home Health and ADC. Employees with convictions for prohibitive offenses are precluded from working in these facilities.

  • Mandatory Elderly Abuse Form - Mandatory abuse report form. Reporting of abuse is mandatory for employees and administrators in care settings. Reporting abuse is voluntary and anonymous for the general public, and the law protects all reporters from retaliation and civil or criminal liability.​​

  • PACE Application - Programs of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility.