Developmental Services - Behavioral Regulations/Three Person Committee
*For a free viewer or to request a hard copy
Three Person Committee Forms
- Safety Device Approval Forms
- approval of the use of safety/protective device procedure (Microsoft Word*) (Adobe PDF*)
- approval of the use of safety/protective device (s) (Microsoft Word*)
- protective device authorization (Microsoft Word*)
- Sample A
- application for approval of severly intrusive intervention (Microsoft Word*)
- consent/authorization (Microsoft Word*)
- Sample B
- application for approval of severly intrusive intervention (Microsoft Word*)