Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering the individual's name, social security number, and date of birth at the top of the form. Ensure that all information is accurate and matches the official documents.
3. Provide the name and address of the current residence at the time of Level I submission. Indicate the type of residence by checking the appropriate box.
4. If a legal guardian is applicable, provide their name and address in the indicated section.
5. Answer the questions regarding suspected diagnoses or history of intellectual disabilities and major mental illnesses comprehensively. If applicable, specify conditions and provide relevant details.
6. Complete the section on whether the individual poses a danger to themselves or others. If 'Yes,' offer a detailed explanation.
7. Review the specific conditions to determine if they are related to medical requirements or personal circumstances. Ensure documentation is noted in medical records if relationships to medical conditions exist.
8. Select the type of care needed (Long Term or Short Term) and check any relevant options that apply.
9. Ensure all sections are filled in completely and accurately before finalizing the document.
10. Once all entries are made, you can save your changes, download a copy, print the form, or share it as needed.

Start your application process by filling out the Passr Screening Form online today.