Get 656 Pasrr

The 656 Pasrr online form is essential for initiating evaluations and facilitating mental health assessments for individuals seeking assistance. This guide will provide a clear, step-by-step approach to ensuring that the form is completed accurately and efficiently.

Follow the steps to complete the 656 Pasrr form online successfully.

1. Press the ‘Get Form’ button to access the 656 Pasrr form and open it in your selected editor.
2. Begin by entering the patient's personal details, including their name, address, and contact information. Make sure to specify whether the patient was admitted to the hospital and their current status.
3. Fill in the attending physician's details, including their name, address, and contact number. Document relevant medical information, such as the patient's date of birth, Medicaid number, and payer source.
4. Complete the section detailing the legal representative and patient contact person's information if applicable. Ensure that all required information, such as phone numbers and relationships, is provided.
5. Indicate whether the patient speaks English, receives electroconvulsive therapy (ECT), and if an interpreter is needed. Fill in relevant dates and language information if required.
6. Proceed to the attestation checklist, confirming the inclusion of all necessary documentation as required for the evaluation. Check each item to indicate its presence.
7. After meticulously filling out all sections, review the form for accuracy. Make any necessary adjustments before finalizing.
8. Save your changes, and then download or print the completed form as needed. You can also share the form with authorized personnel if required.

Finalize your documentation by completing the 656 Pasrr form online today.