Murray Ridge Center - Lorain County Board of DD

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Forms

Volunteer Forms:

Volunteer Application Form

Independent Providers MUI/UI Forms:

_{Additional Documentation of MUI Notification}

_{ATAGLANCE for Independent Providers}

_{Independent Provider Information Sheet}

_{Semi-Annual & Annual Review & Analysis Report}

_{Unusual Incident Report Instructions}

_{MUI and UI Fact Sheet}

_{MUI Rule Brochure for Providers 2015}

_{Semi-Annual & Annual Analysis Tips – Independent Provider}

_{Unusual Incident Report}

_{UI Monthly Report Log for Independent Providers}

_{DODD Health & Safety Toolbox LINK}

_{OAC 5123:2-17-02 The MUI Rule LINK}

_{Email of 10/3/13 – Informational Memo}

_{Unscheduled Hospitalization Form}

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Murray Ridge Center
Lorain County Board of Developmental Disabilities Offices
1091 Infirmary Road
Elyria, OH 44035
(440) 329-3734
(440) 322-2683 fax

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