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Get Cap/da Screening Tool
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How to fill out the CAP/DA Screening Tool online
This guide provides a step-by-step approach to effectively fill out the CAP/DA Screening Tool online. By following these instructions, users will ensure that all relevant information is accurately captured, facilitating access to necessary services.
Follow the steps to complete the CAP/DA Screening Tool online.
- Press the ‘Get Form’ button to access the CAP/DA Screening Tool online and open it in your preferred interface.
- Begin by entering the client's name in the designated fields, ensuring you provide the last name first, followed by the first name.
- Fill in the basic information section, including the client's phone number, street address, city or township, county, zip code, and date of birth.
- Indicate the mother's maiden name and social security number in the appropriate fields.
- Specify the client's needs and preferences for services, including gender and racial/ethnic identity.
- Answer the questions regarding unmet skilled needs, current facilities, and if the client receives veteran’s benefits.
- Complete the health perceptions and services section by indicating any diagnosed or perceived health problems and the sense of well-being.
- Fill out the functional activities section, indicating the client's ability to perform various daily living tasks independently.
- Provide information about the client's housing situation, including plumbing and heating conditions.
- Conclude by entering income and financial assistance details, including SSI, Medicaid, and Medicare information.
- Finally, review all entries for accuracy. You can save changes, download, print, or share the completed CAP/DA Screening Tool as needed.
Complete your CAP/DA Screening Tool online to ensure timely access to essential services.
To apply for CAP C in North Carolina, visit your local management entity to obtain the necessary application forms. Be prepared to provide documentation regarding your current health status and needs. Using the CAP/DA Screening Tool can streamline the application process, ensuring all details are accounted for and enhancing your chances of approval.
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