Loading
Get Mini Mental Status Exam
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Mini Mental Status Exam online
The Mini Mental Status Exam is a valuable tool for assessing cognitive function. This guide provides clear instructions for filling out the exam online, ensuring an accurate assessment.
Follow the steps to complete the Mini Mental Status Exam online.
- Click ‘Get Form’ button to obtain the form and open it in your browser.
- Begin with the patient identification section. Enter the patient's information as required, including their name and any relevant identification numbers.
- Move to the orientation section. Ask the patient to answer questions about the current year, month, date, day, and season. Record their responses based on the maximum score possible.
- In the immediate recall section, present three objects (for example, table, penny, apple) to the patient. Ask them to repeat the objects immediately after you say them. Keep track of how many trials it takes for the patient to recall all three objects correctly and note the number of trials.
- Next, assess attention. Begin with a score of 100 and ask the patient to count backwards by 7, or alternatively, spell 'world' backwards. Record their performance.
- After a five-minute delay, return to the delayed recall section. Ask the patient to recall the three objects from the immediate recall section. Note the number of correct responses.
- Proceed to the language section. Test naming by asking the patient to identify two objects. For the repetition part, have them repeat the phrase 'no if's, and's or but's'. Next, give a verbal command for the patient to follow.
- Continue with reading comprehension, where the instruction is to 'close your eyes'. Then, ask the patient to copy a design and write a sentence as part of the drawing and writing assessments.
- Once all sections are completed, calculate the total score based on the assessment criteria provided. This will help you determine the patient's cognitive function.
- Finally, save changes to the document as needed. You can also download, print, or share the completed form depending on the requirements.
Start filling out the Mini Mental Status Exam online today for an accurate cognitive assessment.
Performing a mini mental status examination involves structured steps to evaluate cognitive functions. Start with a brief introduction to explain the purpose of the exam and ask for consent. Then guide the individual through various tasks and questions that assess orientation, memory, attention, and language skills. If you're looking for professional materials, US Legal Forms offers comprehensive resources to help you conduct this exam effectively.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.