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Get Form 1: Assessment Of Attendant Care Needs
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How to fill out the Form 1: Assessment Of Attendant Care Needs online
Filling out the Form 1: Assessment Of Attendant Care Needs is essential for reporting the attendant care required by an applicant due to an automobile accident. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to accurately fill out the Form 1 online.
- Click the ‘Get Form’ button to access the form and open it in your editing tool.
- Begin with filling in the applicant’s identification details, including their name, date of birth, address, and policy number. Ensure accuracy to avoid processing delays.
- In Part 1, assess the Level 1 attendant care needs. For each activity listed, estimate the total minutes required per week and multiply by the frequency of the activity. Fill in subtotals where indicated.
- Proceed to Part 2 for Level 2 attendant care. Similar to Part 1, assess the care needs, noting the time spent and frequency for activities requiring basic supervisory functions. Again, calculate and enter subtotals.
- Next, in Part 3, evaluate the Level 3 attendant care functions that involve complex health care needs. Carefully estimate the necessary minutes for each activity, and complete the subtotals as instructed.
- In Part 4, calculate the total assessed monthly attendant care benefit. Take the totals from Parts 1, 2, and 3, then compute the monthly hours and apply the hourly rates to find the final benefit amount.
- Finally, in Part 5, the regulated health professional must sign the form. This includes providing their name, registration number, and contact details to ensure the assessment's authenticity.
- Review all entered information for accuracy. Save the changes, and you can download, print, or share the completed form as required.
Take action now and complete your Form 1 online to ensure timely processing of your attendant care needs.
Criteria for a needs assessment typically include the individual’s physical, emotional, and social needs. Assessors look at the person's daily living activities and any barriers they face. The Form 1: Assessment Of Attendant Care Needs provides a structured approach to identifying these criteria effectively.
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