Loading
Get Disability Assessment
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 Disability Assessment online
Filling out the Disability Assessment form is a vital step in evaluating the capabilities of a person with dementia. This guide provides clear and supportive instructions to assist users in completing the assessment online, ensuring that all necessary information is provided accurately.
Follow the steps to complete the Disability Assessment online
- Click ‘Get Form’ button to access the Disability Assessment form and open it in your editor.
- Begin by entering the name of the person being assessed in the 'Name' field. Make sure to use the full legal name for clarity.
- Fill in the 'File No' to reference the individual's case appropriately.
- Insert the date on which you are filling out the form, ensuring it is accurate.
- In the 'MMS' section, provide any relevant medication management information that applies.
- Complete the 'GDS' section to indicate scores on the Geriatric Depression Scale if applicable.
- Answer all sections of the form regarding the individual's abilities. Each question typically requires a response of 'YES' (1), 'NO' (0), or 'N/A' (not applicable).
- For example, in the 'Hygiene' section, answer whether the individual undertook activities like bathing or brushing their teeth without assistance.
- Continue through sections such as 'Dressing', 'Continence', 'Eating', and other indicated areas, responding honestly based on observations.
- When you reach the summary area, input any additional comments or observations that may aid in the assessment.
- Review all the provided information to ensure completeness and accuracy.
- Once finished, you can save your changes, download the document, print it, or share it as required.
Complete your Disability Assessment form online today for a comprehensive evaluation.
How often will my medical condition be reviewed? The frequency of reviews depends on the nature and severity of your medical condition and whether it's expected to improve. If improvement is not expected, we'll review your case every seven years.
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.