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Direct Support Professional Provider Attestation Statement ENTER FOR Name Individual Served Name: ___ Direct Support Professional Name: ___ ___I acknowledge that I have reviewed and understand the
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Who needs direct support professional provider?

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Individuals with disabilities who require assistance with daily living activities.
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Direct support professional provider is a person who offers assistance and support to individuals with developmental disabilities, helping them with daily tasks and activities.
Employers or agencies that hire direct support professional providers are required to file the necessary documentation.
To fill out a direct support professional provider form, employers need to include details about the provider's work history, qualifications, and any relevant training.
The purpose of a direct support professional provider is to ensure that individuals with developmental disabilities receive the care and support they need to lead fulfilling lives.
Information such as the provider's name, contact information, work schedule, and services provided must be reported on a direct support professional provider form.
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