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Forms Team

Strategic Goals

The goal of the Region 5 HCRP Forms Committee is to:

To assist agencies within Region 5 to utilize standardized forms.
To review current forms and provide feedback on practical applications.
To provide input and recommendations to improve standardized forms.

Current HCRP Forms Committee Members are: 

Sr. Jean Orsuto

Emmanuel Community Care Center

2 North State St.

Girard, OH 44420

Phone:  330.545.4301


Lynn Zalewski

Catholic Charities of Ashtabula County

4200 Park Avenue – Third Floor

Ashtabula, OH  44004

Phone:  440.992.2121

Tactical Next Steps

To achieve these goals, the committee will:

• Review all HCRP forms being used within each agency within Region 5. The review will offer all users the opportunity to outline any training needs.
• Work with COHHIO to identify best practices in relation to the forms and the HCRP program.
• Develop processes that agencies can utilize to help achieve the outcomes of the HCRP.

Each Region 5 county should identify a current HCRP caseworker to participate on the HCRP Forms Committee, and appoint a back-up as a way of ensuring continuity.