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Section:Division of NursingApproval:___******************** PROCEDURE ********************Index: Page: Issue Date: Reviewed:7010.097a 1 of 1 August 5, 2002, August 2007___ HACKETTSTOWN REGIONAL MEDICAL
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Obtain a copy of the 7010097a elopement from form.
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Fill out the form with accurate information, such as the names of the individuals eloping, the date and location of the elopement, and any witnesses present.
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Review the form for completeness and accuracy before submitting it.
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Submit the completed form to the appropriate authority or entity, as instructed.

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Individuals who are planning to elope and require documentation of their elopement may need the 7010097a elopement from form.
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The 7010097a elopement form is a specific document used to report incidents of elopement, where individuals leave a designated care facility without permission.
The facility administrators or authorized personnel responsible for the care of individuals who elope are required to file the 7010097a elopement form.
To fill out the 7010097a elopement form, provide the individual's information, details about the elopement incident including date, time, and circumstances, and any actions taken following the incident.
The purpose of the 7010097a elopement form is to document incidents of elopement for regulatory compliance, to track patterns, and to improve safety protocols in care facilities.
The form must report the individual's name, identification details, date and time of elopement, circumstances surrounding the incident, and any follow-up actions taken.
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