Get Pasarr Screen

The Pasarr Screen is an essential document used to assess individuals for potential mental illness and developmental disabilities prior to admission to a nursing facility. This guide will provide you with clear, step-by-step instructions to complete the Pasarr Screen online effectively.

Follow the steps to successfully complete the Pasarr Screen.

1. Click the ‘Get Form’ button to access the Pasarr Screen and open it in your preferred editing program.
2. Begin by entering the individual's first and last name, middle initial, mailing address, phone number, and social security number in the designated fields.
3. Fill out the current location details, including the medical facility and the proposed nursing facility admission date.
4. In Section I, indicate if the individual has any diagnosed mental illnesses by checking the appropriate boxes, using 'No,' 'Suspected,' or 'Yes' for each listed disorder.
5. For each mental disorder in question, follow the same process as in step 4, while accurately providing diagnoses that are not explicitly listed.
6. Complete Section II by listing all current psychiatric medications the individual is taking, including dosage, diagnosis, and when the medication was started.
7. Address Section III by identifying any symptoms displayed by the individual. Use the boxes provided to note interpersonal issues, concentration difficulties, and related symptoms.
8. Continue to Section IV to note any history of psychiatric treatment and whether the individual has had significant life disruptions due to mental health symptoms.
9. In Section V, determine if the individual has a primary diagnosis of dementia or Alzheimer’s disease and attach any corroborative information as required.
10. Complete Section VI by checking whether the individual has an intellectual disability or related conditions, following the instructions provided.
11. Once all sections are filled out thoroughly, ensure to sign the form as required, indicating the signature of a qualified professional and the date.
12. After completing the document, save the changes, and choose to download, print, or share the form to submit it as needed.

Complete the Pasarr Screen online today to ensure accurate assessment and care.