Reports and Forms
Incident Report
Report the incident to appropriate New Horizons administrative staff as soon
as possible
Complete an incident report whenever you or a Client experiences physical
trauma, or when an incident occurs which might result in trauma or injury
during your shift
Incident reports must be turned in to the office within 24 hours of incident
Use this form to document injuries or incidents which have occured prior to
shift as well
Report all incidents verbally to a Care Manager or Scheduling Coordinator as
soon as possible
If unsure of whether or not you should complete an Incident Report, contact a
Care Manager or Scheduling Coordinator
Medication Incident Report
Complete whenever an unusual event occurs which involves medication
Call New Horizons and notify the Care Manager of any incident as soon as
possible
Must be turned in to the office within 24 hours of the incident
Working/Potential Hazard
Used to identify hazards in your Client’s home
All information documented on this form must be verbally reported to a Care
Manager as soon as a hazard or potential hazard is identified
Must be turned in to office within 24 hours of identifying hazard or potential
hazard
Medical Visit Report
You must complete this form prior to any medical visit that you accompany a
Client to
At the beginning of the visit, the doctor will review the form, make notes, and
sign
After the visit, you will report findings & changes to the Care Manager
Forms should be turned in to the office as soon as possible