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How to fill out the TN PASRR online
The Tennessee PreAdmission Screening and Resident Review (PASRR) is a crucial form used to assess the mental illness and/or intellectual disability of individuals seeking admission to nursing facilities. This guide will provide you with clear and supportive instructions on completing the form online.
Follow the steps to successfully complete the TN PASRR online.
- Press the 'Get Form' button to access the TN PASRR form and open it in the editor.
- Begin by filling out the applicant's personal information, including their last name, first name, middle initial, mailing address, phone number, and date of birth. Ensure that the details are accurate and up-to-date.
- Provide the Medicaid and Medicare information, if applicable. Fill in the Medicaid Security number and Medicaid number as required.
- Fill out information regarding the current admission location, including the name, address, and contact details. Make sure to include the date of admission as well.
- In the PASRR Level I Screen section, answer the questions related to mental illness by checking 'YES' or 'NO' as appropriate. Provide any necessary explanations regarding diagnosis if you select 'YES'.
- Proceed to answer the questions about intellectual disability in a similar manner. Check the boxes for 'YES' or 'NO' and provide information where indicated.
- Sign and date the certification statement at the end of the document, ensuring that all provided information is accurate. This step is essential for confirming truthfulness regarding eligibility for nursing facility care.
- If applicable, select an exemption or categorical determination and ensure it is checked. Include physician certification as required.
- Review all entered information to ensure accuracy and completeness. Once confirmed, save the changes to the document.
- Download or print the completed form for your records. Ensure that you have an original physician’s signature before submitting the document as specified.
Start filling out your TN PASRR form online today for a smooth admission process.
Filling out a PASRR form involves collecting relevant information about the individual’s health, mental status, and functional capabilities. The process typically requires input from health care providers and must be completed before admission to a long-term care facility. For assistance in properly completing the PASRR forms, consider using the US Legal Forms platform, which offers resources to ensure compliance with TN PASRR guidelines.
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