Forms and Documents
Click here for Ohio DoDD COVID-19 Resources and Support
Wood County Provider Pandemic Support Grant
The Wood County Board of Developmental Disabilities is appreciative of our entire Provider network’s response during the Pandemic and we want to show our support in any way we can. Providers have been a source of strength for those we serve when it’s been needed the most.
Grant Part A: To help alleviate increased costs providers may have experienced in caring for an individual or individuals who have needed to quarantine during the Pandemic retroactively to March 17, 2020 through December 31, 2020, the WCBDD has authorized the Provider Grant Pandemic Support Grant program.
Grant Part B: The Provider Support Pilot Grant Program was revised effective 6/15/2020 to include financial support for ADS Providers. The Wood County Board of Developmental Disabilities understands this is a difficult time and there have been many expenses that were not planned for. (Note that the numbers of individuals served is based on pre-pandemic numbers.)
For information on the criteria to receive either grant click here: WCBDD Covid -19 Provider Support Pilot Program (pdf) (Word) Applications for both Part A and Part B can be submitted up till 5/31/2021.
If you have questions or would like to apply for either one or both of these grants, please contact Service and Support Administration Manager, Amy Knauss, by email at aknauss@woodcountydd.org or phone at 419-315-1231.
Educational COVID-19 Training Materials for ADS/ VH/ STEPS/ HPC:
Here are a variety of educational resources DSP’s can utilize with Individuals served to assist in increasing their knowledge and abilities of the COVID-9 Pandemic. The resources include social stories, printable PEC’s for donning and doffing masks and other helpful tools. What is the Coronavirus Social Story Plain Language Information on COVID-19 Covid19 ab comptest Covid19 ab My Day Program Closed Germs-Social-Story What is Social Distancing Social Story Social Story About Social Distancing with Pecs Wash-Your-Hands-Steps 8×11-1 Non-handshake Greetings Social Story I-Can-Wear-a-Mask-Social-Story Cloth Mask Elastic Cloth Mask Ribbon Surgical Mask Wearing a Face Mask Social Story-Adult Version Wearing a Face Mask Social Story-Child Version Surgical Mask Telemedicine Social Story
Provider Forms and Documents
HPC Documentation Monthly (pdf) (Word) HPC Documentation Weekly (pdf) (Word)
HPC Transportation Individual Mileage Log (pdf) (Word) HPC Transportation Multiple Person Mileage Log (pdf) (Word)
NMT (Per Trip) w Daily Inspection (pdf) (Word) NMT (Per Mile) w Daily Inspection (pdf) (Word)
Ohio Shared Living Documentation Weekly (pdf) (Word) Ohio Shared Living Documentation Monthly (pdf) (Word)
Waiver Nursing Care Documentation (pdf) (Word) Agency QA Review Form (pdf) (Word)
Seizure Observation-First Aid Treatment Record