Follow the steps to fill out the MI WF 15674 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully review each section of the form, ensuring you provide accurate and legible information. Fill in every required field, marking 'N/A' in spaces that are not applicable to your submission.
3. Provide admission information such as the admission date to the skilled nursing facility or inpatient rehabilitation, including clinical details such as the admitting doctor's name, vital signs, and the hospital admitting diagnosis with the corresponding ICD-10 CM code.
4. List any significant medication changes, IV medications, and declare the clinical information related to self-care and discharge plans. Make sure to fully describe any needs or barriers to discharge.

Complete your documents online with confidence by following the outlined steps.