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Get Gould Assessment
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How to fill out the Gould Assessment online
This guide provides users with a comprehensive overview of how to complete the Gould Assessment online. It outlines each section of the form, ensuring that users understand how to provide accurate and complete information.
Follow the steps to successfully complete your assessment
- Press the ‘Get Form’ button to access the Gould Assessment and open the form in your browser.
- Enter the referral date. Use two digits for the month and day, and four digits for the year to establish the assessment start date.
- Fill in the applicant's birth date using the format MM-DD-YYYY, ensuring to include leading zeros where applicable.
- Select the marital status that accurately describes the applicant's current situation from the options provided.
- Enter the primary language code from the provided Language List, and if applicable, indicate if an interpreter is required.
- Complete the residence address and phone number fields, ensuring the information is current for the time of assessment.
- Fill in the Medicare number if available, checking N/A if it does not apply.
- Summarize the current income sources and indicate whether the income is from the applicant or spouse.
- Continue with the remaining sections of the form, providing detailed responses to questions related to legal guardianship, referral information, visual/hearing impairments, cognitive/behavioral concerns, and advanced directives.
- Finally, review all provided information for accuracy and completeness before submitting the assessment.
Complete your Gould Assessment online today to ensure a timely evaluation.
Filling out an assessment involves understanding the purpose and required information clearly. Start by reviewing each section and answering thoughtfully based on your knowledge or observations. Using structured methods such as the Gould Assessment can streamline your completion process and enhance the accuracy of the assessment.
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