Trainaba - RBT Parent Verification Form Checklist

Print as pdf

Ben Theisen

72 Downloads

Use this form in California to verify insurance billable and regional center billable hours for RBT services. See Title 17 (Lanterman Act) for most current billable hours requirement. Use of this tool does not guarantee compliance for your specific company, service code, or vendor requirements. (Note: This document is in beta mode.)

GO DIGITAL TODAY
Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet. Visit www.iauditor.com

Audit

Upload photo of signed paper billing form (if applicable).

Was today's session completed as scheduled?

Location of services delivered

Session start time

Session end time

Name of client receiving services

Name of parent receiving services

Parent signature (or adult in charge)

RBT signature

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.

Trainaba - RBT Parent Verification Form Checklist

Enter your details to print your FREE checklist

Still haven't found the checklists you were looking for?