OSP worksheetOverall Service Plan WorksheetStaff Name(Required) First Last Date Reviewed:(Required) MM slash DD slash YYYY Person Supported Name:(Required) First Last OSP Ending: MM slash DD slash YYYY 1. Does the person take medications? If yes, who assists them?(Required)2. Does the person have any allergies? If yes, what are they?(Required)3. Does the person have seizures? If yes, what is their seizure protocol or do they follow Alpha's protocol?(Required)4. List at least two objectives this person is working on and how often should they be run?(Required)5. Is this person their own guardian?(Required)6. Please explain the means of communication for this person:(Required)7. What supports does this person need for their activities of daily living (ADLs) (i.e. eating, toileting, personal hygiene)?(Required)8. Does this person have rights restrictions? If yes, what are they?(Required)9. What is the person's code status?(Required)10. Who is the person's Program Coordinator?(Required)11. Does the person have a behavior program?(Required)12. What is the person's supervision level?(Required)13. What is the emergency exit plan for the person?(Required)Acknowledgement(Required) I acknowledge that I have read through the overall service plan of the person listed above and understand the plan.Δ