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Besides the client providing answers to questions? No (Skip to 34) Yes a. Name: b. Relationship: 34. Besides your own children, how many children under age 19 do you live with and provide care for? (if zero, skip to 35) a. How many are grandchildren? # Name(s): b. How many are other related children? # Name(s): c. How many are other non-related children? # # Name(s): 35. How many disabled adults age 19 to 59 do you live with and provide care for? (if zero, skip to 36) a. How ma.

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How to fill out the 701b online

The 701b comprehensive assessment is a critical document required by the Florida Department of Elder Affairs. This guide provides clear and user-friendly instructions on how to effectively complete the form online.

Follow the steps to successfully complete the 701b form online.

  1. Click the ‘Get Form’ button to acquire the form and open it in your preferred digital editing tool.
  2. Start with the demographic section. Enter the assessor or case manager's ID, along with their name. Make sure to check the purpose of the assessment and select any relevant options.
  3. Provide the client's social security number, name (first, middle initial, last), and contact information. Also, fill in the date of birth and gender. Make sure to check the applicable race and ethnicity boxes.
  4. Complete the current physical location address and the mailing address if different. Indicate if the client's home address is public housing.
  5. Fill out the assessment date, site, and referral source sections as instructed.
  6. In the memory section, answer questions regarding any cognitive impairment and complete the memory recall tasks as required.
  7. Assess the general health, sensory, and communication abilities by answering a series of health-related questions about the individual's physical status.
  8. Provide information regarding activities of daily living (ADLs) and instrumental activities of daily living (IADLs), detailing the level of assistance needed.
  9. Share relevant health conditions and therapies that might affect the individual’s needs. Include any medications that are being taken, how they are managed, and any history of substance use.
  10. In the caregiver section, if applicable, provide details about the primary caregiver and any additional support they may need.
  11. Once all sections are completed, review the form for accuracy. Users can save any changes, download the completed document, print it for physical submission, or share it as needed.

Complete the 701b online today to ensure accurate assessment and access to necessary services.

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Lincoln CS06893 2010 AZ 550/555 1998 FL 12.915 2012 KY 2306 - Boone County 2009

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701B Comprehensive Assessment (English; Spanish) A comprehensive assessment that is administered face-to-face to assess all case-managed clients regardless of the program in which they are enrolled.

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