SIGNATURE’S COVERSHEET RISK ASSESSMENT REASSESSMENT OF PLANNING DOCUMENT 90 DAY REVIEW JUSTIFICATION AND ADDITIONAL SERVICE OUTCOMES BACKUP PLAN ACTION ITEMS ARIZONA LONG TERM CARE SYSTEM (ALTCS) VISION AND PRIORITIES AUGMENTATIVE COMMUNICATION DEVICE MAJOR SIDE EFFECTS STATEMENT OF RIGHTS SERVICE PLAN MEDICATIONS ATTENDANT CARE SPEECH THERAPY TEAM ASSESSMENT SUMMARY ATTENDANCE SHEET ADAPTIVE EQUIPMENT FOCUS PRINTOUTS TIMELINESS SERVICE EVALUATION BEHAVIORAL HEALTH SIGNATURE’S COVERSHEET RISK ASSESSMENT REASSESSMENT OF PLANNING DOCUMENT 90 DAY REVIEW JUSTIFICATION AND ADDITIONAL SERVICE OUTCOMES BACKUP PLAN ACTION ITEMS ARIZONA LONG TERM CARE SYSTEM (ALTCS) VISION AND PRIORITIES AUGMENTATIVE COMMUNICATION DEVICE MAJOR SIDE EFFECTS STATEMENT OF RIGHTS SERVICE PLAN MEDICATIONS ATTENDANT CARE SPEECH THERAPY TEAM ASSESSMENT SUMMARY ATTENDANCE SHEET ADAPTIVE EQUIPMENT FOCUS PRINTOUTS TIMELINESS SERVICE EVALUATION BEHAVIORAL HEALTH
(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
SIGNATURE’S
COVERSHEET
RISK ASSESSMENT
REASSESSMENT OF PLANNING DOCUMENT
90 DAY REVIEW
JUSTIFICATION AND ADDITIONAL SERVICE OUTCOMES
BACKUP PLAN
ACTION ITEMS
ARIZONA LONG TERM CARE SYSTEM (ALTCS)
VISION AND PRIORITIES
AUGMENTATIVE COMMUNICATION DEVICE
MAJOR SIDE EFFECTS
STATEMENT OF RIGHTS
SERVICE PLAN
MEDICATIONS
ATTENDANT CARE
SPEECH THERAPY
TEAM ASSESSMENT SUMMARY
ATTENDANCE SHEET
ADAPTIVE EQUIPMENT
FOCUS PRINTOUTS
TIMELINESS
SERVICE EVALUATION
BEHAVIORAL HEALTH