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Texas Department of Aging and Disability Services. Form 2060. June 2012. Needs Assessment Questionnaire and Task/Hour Guide. Individual Name. Individual .

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How to fill out the Form 2060 online

This guide will provide you with a comprehensive step-by-step approach to completing Form 2060, a needs assessment questionnaire designed for individuals seeking support services. By following these instructions, you can successfully fill out the form online, ensuring all necessary information is accurately provided.

Follow the steps to complete Form 2060 effectively.

  1. Press the ‘Get Form’ button to access the Form 2060 and open it for editing.
  2. Fill in the personal information at the top of the form, including the individual's name, individual number, companion case name, and companion number, along with the date of the assessment.
  3. Complete Part A, the Functional Assessment, by addressing each question related to daily living activities. Indicate any problems or needs in the provided spaces.
  4. In Part B, the Task/Hour Guide, record the minutes per day for each task, such as bathing, dressing, or grooming. Follow the provided scoring guidelines and ensure you enter the total minutes accurately.
  5. Proceed to fill out Part C, detailing specific tasks and subtasks based on the individual's impairment scores. Carefully select the appropriate subtasks and document any time requirements as needed.
  6. Calculate total minutes and hours required for assistance based on your entries. Ensure to round up the hours as instructed, following the calculations stated in the form.
  7. Review all sections carefully for accuracy and completeness. Make sure you have included all necessary information and scored the assessment correctly.
  8. Once you have filled out the form, save your changes. You can then choose to download, print, or share the completed Form 2060 as required.

Complete your documents online today to ensure a smooth assessment process.

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