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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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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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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232