Service Provider Forms
Parental Verification of Receipt of Services
Section 4681.31 of the Welfare and Institutions Code requires any vendor who provides services as specified below to submit verification to the regional center for services provided to consumers who are under 18 years of age and residing in the family home.
The Department of Developmental Services has developed a standard form for vendors to complete and provide to the family for signature.
This requirement applies to most Behavioral Services
Download Forms for Behavior Intervention
Individual Direct Service Log PDF
Individual Direct Service Log Word
Group Service Log Word