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MAD #58 INCIDENT REPORT PHYSICAL RESTRAINT or SECLUSION OF A STUDENT NAME OF SCHOOL/PROGRAM:DATE OF REPORT:NAME OF PERSON COMPLETING THE REPORT:STUDENT INVOLVEDSTUDENT NAME:Age:Gender:Grade:STUDENT
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Physical restraint or seclusion is a practice of restricting an individual's movement or isolating them in a separate area to prevent harm to themselves or others.
The individuals or facilities responsible for using physical restraint or seclusion are required to file the necessary reports.
The appropriate forms must be completed with details of the incident, including the date, time, individuals involved, and reasons for using restraint or seclusion.
The purpose of physical restraint or seclusion is to ensure the safety and well-being of individuals by preventing harm in emergency situations.
The report must include details of the incident, individuals involved, duration of restraint or seclusion, and any injuries sustained.
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