DOH Posts DAL 15-15 Revised ACF DSS Forms 2900 and 3026 With Attachments

Carla Erhartic in NYSCAL Priority Alert

The purpose of this letter is to inform you that the Adult Care Facility Daily Resident Census Report (DSS 2900) and the Chronological Admission and Discharge Register (DSS 3026) were revised to eliminate content that is no longer applicable, to standardize information contained in the forms and to improve their overall appearance.

As the forms are referenced in the ACF regulations by their DSS form numbers, the DSS numbers will remain along with the newly assigned DOH form numbers.

Read DAL 15-15 here: DAL 15-15 Revised ACF DSS Forms 2900 and 3026 with attachments listed below.

  1. DSS 2900 Daily Census
  2. DSS 3026 Chronological Admission and Discharge Register