Providers are the tip of the spear when it comes to satisfying legal requirements pertaining to the operation and continued licensing of your home.
OAR 411-360 PAGE 66 : (2) REQUIRED DOCUMENTATION (D) CURRENT SIGNED ORDERS FOR ALL MEDICATIONS, TREATMENTS, THERAPIES, SPECIAL DIETS, AND ADAPTIVE EQUIPMENT.
Tillamook Family Counseling home office suggests...
Keep a copy of the Oregon Administrative Rule with you
Remind them that as a doctor, they need to sign their orders, or you cannot go through with any changes that they are suggesting.
if they are still refusing, file a complaint and/or find a different doctor.
It is your responsibility as a DD Foster Provider to be your client's advocate if they cannot do it for themselves. You must be able to get your orders signed.
Always document. Your last step and best step is to document the encounter, and immediately share it with your client's Case Manager and Licensor. This will be a rare occurrence and a call from someone official after you have exhausted your options may do the trick if your word and the written law is not good enough.