Resource Link

https://dbhds.virginia.gov/wp-content/uploads/2023/06/SDMA-Tracking-Tool-Fillable.pdf

Resource Description

Introduction: This document is a simple one-page form called the "Supported Decision-Making Agreement Tracker" from the Commonwealth of Virginia. It helps people with disabilities keep track of who has a copy of their Supported Decision-Making Agreement. The tracker is designed to be easy to use, with spaces to fill in names and dates. It reminds the person to keep this list updated so they know who to contact if they make changes to their agreement. This form is part of the broader Supported Decision-Making system that helps people with disabilities maintain their independence while getting the help they need.

Resource Summary

Content Summary: The Supported Decision-Making Agreement Tracker helps you remember who has a copy of your agreement. At the top of the form, it says "Who has a copy of my Supported Decision-Making Agreement?" The form then has spaces for you to write down the names of people and when you gave them copies. There are sections for different types of people in your life. The first section is for your Supporters, who are the main people helping you make decisions. There are also spaces for doctors, your local hospital, and teachers. The form includes spots for your Support Coordinator or Case Manager and Waiver Providers, who might be part of your care team. You can also list family members, friends, and others who have copies of your agreement. Next to each category, there's a space labeled "Date Given" where you can write when you gave that person a copy. This helps you keep track of who has the most recent version of your agreement. Keeping good records is important because plans can change over time. At the bottom of the form is an important reminder. It says that if you make changes to your agreement or decide to cancel it, you need to tell everyone on your list. You should give them all an updated copy or let them know if you've canceled the agreement. This helps make sure everyone has the same information about how you want decisions to be made. The tracker is a simple but helpful tool. It keeps all the information in one place so you don't have to wonder who has seen your agreement. By keeping this list up to date, you make sure that everyone who helps you knows your current wishes. This form is just one page long, making it easy to keep with your other important papers.