Post-Emergency Restraint Report Forms

Post

It is necessary for ACRC to evaluate the appropriate use of emergency intervention procedures including restraint. Service providers shall submit the Post Restraint Reporting form along with the SIR they submit for a restraint. Questions regarding this can be directed to Julie Rachfal, SIR Coordinator jrachfal@altaregional.org or (916) 978-6337.

Post-Emergency Restraint Report Form-SIR - ARM Level
Post-Emergency Restraint Report Form-SIR - CCH/EBSH