Get Determine Your Nutritional Health - The Texas Department Of ... - Dads State Tx

Completing the DETERMINE Your Nutritional Health form is an essential step in assessing nutritional risk among individuals, particularly older adults. This guide provides clear, step-by-step instructions to help users effectively fill out the form online.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to access the DETERMINE Your Nutritional Health checklist. This will allow you to open and fill out the form conveniently.
2. Begin by entering the name of the provider or nutrition center on the designated line. Ensure this is accurate as it reflects where the assessment is being conducted.
3. Next, fill in the consumer’s name to identify who the assessment applies to. This is important for record-keeping.
4. If available, enter the consumer’s client identification number. Avoid using the Social Security Number for identification.
5. Indicate the date the DETERMINE Your Nutritional Health assessment was completed. Remember this form must be filled out annually for those receiving services.
6. In the checklist, review each statement and circle the number in the 'Yes' column that applies to the consumer. It is critical to answer honestly to ensure accurate risk assessment.
7. Total the score by adding up only the circled numbers. This will help determine the consumer’s nutritional risk.
8. Document the date and the total score on the handout that accompanies the checklist, which should be provided to the consumer for their reference.
9. Lastly, enter the responses into the SAMS system. The system will automatically assign the correct score based on 'Yes' responses and calculate the overall nutritional risk status.

Start filling out your nutrition assessment online today to promote better nutritional health.