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Forms and Resources


 

Activity Forms and Resources

These forms and resources were created to add organization and save time when planning activities, whether you are interning, starting in your first year, or rounding out your 20th year. Each free form below is available in PDF (Acrobat) format. The calendar templates are updated yearly for life for free.

You can choose to create one binder that holds everything that you need and insert dividers/cover pages, if needed, or you can choose to create several different binders for your needs.

Browse through each description to understand the purpose of the form before clicking to download.


Activity Plans - Blank - to plan each activity.


Activity Plans - to plan each activity.


Allergy/Medical Form - to track resident/patient allergies and medical information. Allows for easy at-a-glance access when planning activities.


Anecdotal Notes - to record observations/assessments of activities, behaviors, etc. Can be shared during family and facility conferences. You can either write directly into the boxes or write on sticky notes and place them into each square.


Attendance Notes - 7 Days - used with your current participation documentation. You can choose to print and use weekly or print it on the opposite side of your calendar to take notes of activities that are unscheduled.


Birthday Tracker - to keep track of birthdays for your patient, resident, or staff member.


Calendar Evaluation Form – Landscape - to evaluate your calendar daily, weekly, monthly, quarterly, or yearly based on your needs.


Daily Schedule - to keep track of your day using time slots and the name of each activity at that time.


Daily To Do List - to make a list of your daily to do’s.


Daily To Do’s - to track your daily to do’s at a glance.


Emergency Procedures - to keep all emergency procedures in one place for easy access of viewing and training.


Family Communication Log - to record communications between family members. You can use this log to document when you have made contact on behalf of your resident or patient.


Family Concern Form - to communicate up to 4 concerns for 4 separate departments on one form. Simply fill the form out completely, make a copy for each department needing to submit a response, and keep the original in a file or binder. After the form has been submitted, review the response and keep in the case future reference is needed.


Family Council Concern Form - to communicate up to 4 concerns for 4 separate departments on one form. Simply fill the form out completely, make a copy for each department needing to submit a response, and keep the original with the council minutes. After the form has been submitted with a response, review with the council and keep responses in the case future reference is needed.


Independent Activities - used with your current participation documentation to keep track of activities completed independently (ex. box/stations). You can choose to print and use weekly or use for the length of time needed.


Login Information – Group - used when you need to keep track of multiple usernames and passwords for one website.


Login Information – Individual - used when you need to keep track of one person’s usernames and passwords for multiple websites.


Monthly Calendar - Blank - to record notes in a given month.


Meeting Notes - to record notes during any meeting.


Monthly Expense Tracker - to record each expense made within a given month. You can track outings, supply, and resource purchases, etc.


Monthly To Do Listto make a list of your monthly to do’s.


One to One – Room Visit Logto document activities and interactions occurring during 1:1 or room visits.


Pieces of Me Puzzleto get to know your patients/residents, staff, and volunteers. Fill it out and share so that others can get an idea of who you are.


Population Roster to keep track of everyone currently in population.


Quarter at a Glanceto plan each quarter at a glance.


Quarter at a Glance - Blankto plan each quarter at a glance.


Quarterly Participation Log – LandscapeEasily tally the participation of activity over a period of 3 months or quarterly. Tracks up to 6 activities at a time.


Quarterly Participation Log – PortfolioEasily tally the participation of activity over a period of 3 months or quarterly. Tracks up to 14 activities at a time.


Resident Concern Formto communicate up to 4 concerns for 4 separate departments on one form. Simply fill the form out completely, make a copy for each department needing to submit a response, and keep the original in a file or binder. After the form has been submitted, review the response and keep in the case future reference is needed.


Resident Council Concern Formto communicate up to 4 concerns for 4 separate departments on one form. Simply fill the form out completely, make a copy for each department needing to submit a response, and keep the original with the council minutes. After the form has been submitted with a response, review with the council and keep responses in the case future reference is needed.


Shopping List to organize the items needed for a specific activity or department from a store or other supply place.


Shopping List Request – Group of 4to allow for shopping requests to be taken of up to 4 people. Just add the person’s name and the items that they are requesting.


Shopping List Request - Individualto allow for individual shopping request. Just cut into 3 sections and pass them out as needed.


Social Outing Sign Up Sheetto collect names of individuals interested in attending a social outing.


Today’s Plans to write notes for any upcoming activities for the day.


Volunteer Hours Tracking Sheetto record volunteer activity during their time at your facility.


Weekly Activity Plans - to record notes in a given week.


Weekly Activity Plans - Blank - to record notes in a given week.


Weekly To Do List - LandscapeTo make a list of your weekly to do’s.


Weekly To Do List - PortfolioTo make a list of your weekly to do’s.


Week Peek – To Do Listto track your weekly to do’s at a glance.


Year at a GlanceView the upcoming year at a glance.


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