Additional Information and Optional Categorization (Site Level)

The Additional Information and Optional Categorization (Site Level) screen allows users to provide updated and/or additional information about the incident, as well as to further classify the incident.

 

Note: Mandatory fields are marked with an asterisk. In addition, some fields are conditionally mandatory, or in other words, become mandatory based on the response to a previous field. All mandatory fields (including conditionally mandatory fields) must be completed on a screen.

 

Field Name

Field Description

Please include any updated or corrected information from the Incident Description page of the First Section including dates, times, people involved, and relevant details prior to, during, and after the incident. Indicate the current status of the individuals.  If law enforcement has been contacted, please list details of actions taken by law enforcement

Enter information to update and/or correct the incident description included in the First Section, including dates, times, people involved, and other relevant details prior to, during, and after the incident. Indicate the current status of the individual. If law enforcement has been contacted, include the details of actions taken by law enforcement.

Were the individuals educated on the circumstances around the incident?

Select whether the individuals were educated on the circumstances around the incident.

Please explain:

Enter additional information about the education that the individuals received regarding the circumstances leading up to the occurrence of the incident.

Did the individuals accept the services/supports offered?

Select whether the individual accepted the services/supports that were offered to him or her.
Please clarify: Enter additional information on whether the services/supports offered to the individual were accepted.
Optional Field 1: Select the value from the drop-down list. Note: These values are used for internal provider categorization purposes only. Providers may develop their own codes for the values.
Optional Field 2: Select the value from the drop-down list.
Optional Field 3: Select the value from the drop-down list.
Optional Field 4: Select the value from the drop-down list.