- Informed Consent – Updated 1.2.24
- Client Bill of Rights – Updated 1.2.24
- Client Information Form – Updated 12.27.22
- Client Transportation Plan – Updated 12.27.22
- Client Safety and Support Plan – Updated 10.13.23
- Client Medication and Medical/Assistive Device Form – Updated 10.13.23
- Interpreter or Client Support Person Plan – Updated 10.13.23
- Authorization to Disclose Personal Identifiable Information – Updated 10.13.23
- Notice and Opt-Out of Disclosure of De-Identified Data – Updated 10.13.23
- Client Consent for Other Individuals to Be Present During an Administration Session – Updated 10.13.23
- Client Consent for Use of Supportive Touch During Administration Session – Updated 10.13.23
- Client Consent to Receive Secondary Dose of Product – Updated 10.13.23
- Client Consent for Video and Audio Recording of Individual Administration Session – Updated 10.13.23
- Client Consent for Video and Audio Recording of Group Administration Session -Updated 10.13.23
- Client Release from Administration Session – Updated 10.13.23
- Adverse Reaction Requiring Medical Attention or Emergency Services – Updated 1.2.24
- Spanish versions of new and updated forms are currently being translated and will be posted as soon as they are available.
- Informed Consent (Spanish) – Updated 1.19.24
- Client Bill of Rights (Spanish) – Updated 1.19.24
- Client Information Form (Spanish) – Updated 12.27.22
- Client Transportation Plan (Spanish) – Updated 12.27.22
- Client Safety and Support Plan (Spanish) – Updated 10.13.23
- Client Medication and Medical/Assistive Device Form (Spanish) – Updated 10.13.23
- Interpreter or Client Support Person Plan (Spanish) – Updated 10.13.23
- Authorization to Disclose Personal Identifiable Information (Spanish) – Updated 10.13.23
- Notice and Opt-Out of Disclosure of De-Identified Data (Spanish) – Updated 10.13.23
- Client Consent for Other Individuals to be Present During an Administration Session (Spanish) – Updated 10.13.23
- Client Consent for use of Supportive Touch During Administration Sessions (Spanish) – Updated 10.13.23
- Client Consent to Receive Secondary Dose of Product (Spanish) – Updated 10.13.23
- Client Consent for Video Recording of Individual Administration Session (Spanish) – Updated 10.13.23
- Client Consent for Video Recording of Group Administration Session (Spanish) – Updated 10.13.23
- Client Release from Administration Sessions (Spanish) – Updated 10.13.23
- Adverse Reaction Requiring Medical Attention or Emergency Services – Updated 1.2.24 (11/27/24 not on the states site, AAA translated this, check back with the state for their form)
Facilitator License PRINTABLE APPLICATION
- Letter to OPS Licensees on Renewals
- Facilitator License Renewal Application Guide for ONLINE applications
- Change of Name Form
- Request to Surrender License Form
- Overview of the Background Check Process
- Conviction Reporting Guide
- OPS Social Equity Plan Resources
- OPS Social Equity Evaluation Report Guidance for Licensees