Get Pasrr Form Florida

Filling out the Pasrr Form Florida is an essential step for individuals seeking assistance in admission to Medicaid-certified nursing facilities. This guide provides clear and comprehensive instructions to help users complete the form online accurately and efficiently.

Follow the steps to complete the Pasrr Form Florida online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the present location of the individual being evaluated. Select from options such as 'Nursing Facility,' 'Hospital,' 'Home,' or others, and provide their social security number and date of birth.
3. Fill in basic information about the individual being evaluated, including their name, age, gender, street address, and phone number. If applicable, complete details for legal representatives.
4. Indicate the screening date and the individual's Medicaid number if applicable. Include any other health insurance information if relevant.
5. In Section I, specify the nature of the request for PASRR Level I Screening. Choose whether it is a request for admission or a resident review, and provide details on any significant physical or mental changes.
6. For Section II, check the boxes for any serious mental illness (SMI) or intellectual disability (ID) that applies to the individual, and document the findings based on medical history or observations.
7. In Section III, choose if the admission is provisional and provide necessary details, including the attending physician's signature and required dates.
8. Complete Section IV by determining if the individual may be admitted to the nursing facility, and make any necessary referrals for Level II evaluations.
9. Make sure all fields are filled out correctly. After reviewing, save the changes, and download or print the form as needed.

Start filling out the Pasrr Form Florida online to ensure timely processes for admission to nursing facilities.