powered by LeadingAge New York
  1. Home
  2. » Providers
  3. » Assisted Living and Adult Care Facilities
  4. » For all ACF and AL Providers
  5. » DOH Updates ACF Mandated Forms

DOH Updates ACF Mandated Forms

DOH has updated the Adult Care Facility Daily Resident Census Report (DSS 2900) and the Chronological Admission and Discharge Register (DSS 3026). The updated forms eliminate content that is no longer applicable and standardize information contained in the forms. Click here to view the Dear Administrator Letter which highlights the revisions that were made to each form. If you have questions regarding the revised forms, please contact the DOH’s Division of ACF/Assisted Living Surveillance at (518) 408-1133.

Contact: Diane Darbyshire, ddarbyshire@leadingageny.org, 518-867-8828