Get Pasrr

Filling out the Preadmission Screening Resident Review (PASRR) Level I form online is essential for nursing facility applicants. This guide provides clear instructions to help you navigate each section of the form effectively.

Follow the steps to fill out the Pasrr Level I form online

1. Click ‘Get Form’ button to access the PASRR Level I identification form and open it in your preferred online document editor.
2. In Section I - Demographics, enter the individual’s social security number, completion date, and name (last, first) clearly in the designated fields.
3. Determine if the applicant requires assistance with communication by selecting 'Yes' or 'No' under the communication section.
4. In Section II - Neurocognitive Disorder/Dementia, answer questions regarding diagnosis and testing. Provide detailed information if applicable.
5. Advance to Section III - Mental Health. Answer the questions regarding mental health conditions, including substance-related disorders and recent treatments.
6. For Section IV - Intellectual Disability/Developmental Disability, indicate if the individual has any diagnosis or history of disability. Provide supporting details as necessary.
7. In Section V - Other Related Conditions, check if the individual has any disabilities that manifested prior to age 22 and specify the diagnosis.
8. Section VI inquires about the individual’s awareness of Home and Community Based Services. Indicate 'Yes' or 'No' based on the situation.
9. In Section VII, determine if the individual meets the criteria for an Exceptional Admission and select the appropriate options.
10. Conclude by completing Section VIII, checking the appropriate screening outcome, and ensuring all information is accurate. Have the necessary parties sign the form.
11. Finally, save your changes, and download, print, or share the completed PASRR Level I form as needed.

Start filling out the PASRR Level I form online today to ensure compliance and timely processing.