Get Pas-45n, July 2012

Filling out the PAS-45N form online is essential for proper documentation of client discharges. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the PAS-45N online.

1. Click ‘Get Form’ button to retrieve the form and open it in the online editor.
2. Enter the provider number in the allocated field. This is a five-digit identifier assigned to the service provider.
3. Input the program number, also a five-digit code that specifies the program associated with the provider.
4. Fill in the provider client ID, which should be a unique identifier for the client, consisting of ten digits.
5. Select the sex of the client by checking the appropriate box for ‘Male’ or ‘Female.’
6. Enter the client's birth date using the format Month/Day/Year.
7. Provide the last four digits of the client’s social security number.
8. Fill in the last two letters of the client’s birth name if applicable.
9. Record the date of the last treatment session using the specified date format.
10. Select the education level at discharge from the provided options, ensuring that any inconsistencies from admission are updated.
11. Provide details on employment status by selecting one of the listed categories such as 'Employed Full Time' or 'Unemployed'.
12. Indicate the length of employment at discharge by selecting the appropriate time frame.
13. Select the type of residence by checking the most relevant option pertaining to the client’s living arrangements.
14. Identify the primary payment source for the services provided to the client.
15. Address any mental health issues by answering the questions regarding psychiatric history and treatment.
16. Complete the sections related to gambling and tobacco use, specifying achievements and any other relevant details.
17. Document the total treatment visits and breakdowns for outpatient programs if applicable.
18. Provide information regarding the client’s history of arrests, hospitalization, and incarceration if applicable.
19. Complete the sections regarding discharge reason and referral information, ensuring to select applicable options.
20. Review all entered information for accuracy and completeness before finalizing the form.
21. Save changes made to the form. After completion, options to download, print, or share the form will be available.

Complete the PAS-45N online today to ensure accurate client discharge documentation.