Move In Checklist

Move-In Checklist

Please complete each task and have staff initial

 

1. Application on file _______
2. Orientation completed _______
3. Clothes washed and dried _______
4. TB Skin Test Completed _______
5. HIV/Hep C test completed _______
6. Received Resident Handbook and sign attestation _______
7. Sign Program Agreement _______
8. Move IN! _______

 

Staff signature: ____________________________       Date: _________

Client signature: ___________________________       Date: _________