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This form allows the client to designate a person who is competent to care for them in the event the agency staff is unavailable. This form can be used for Pediatrics and/or Primary Home Care recipients. It can also be used for any other situation in which the family or friends are providing some of the care to the client outside of the agency staff.

Effective September 1st 2011 DADS Convictions barring employment update to 42.09 of penal code with the addition of 42.092 and 36.06. This Verification of Employability policy meets the new DADS requirements from House bill 2609 and applies to all current and prospective employees.