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Process for submitting forms
The following forms can be downloaded, printed and completed. After completion, please scan the completed form and send it via email to
MUI
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Forms for All Providers
Major Unusual Incident (MUI)/Unusual Incident (UI) Report Form (DOCX)
MUI-UI Report Form Help Guide (PDF)
Unusual Incident Report Log (DOCX)
Unanticipated Hospitalization Form (PDF)
Unapproved Behavioral Support Form FILLABLE (PDF)
Law Enforcement Form FILLABLE (PDF)
Annual Review Form - Agency 2020 (PDF)
Annual Review Form - Independent 2020 (PDF)
Provider tips for completing annual analysis reports
MUI Analysis Tips for Agency Providers
MUI Analysis Tips for Independent Providers
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