Get Part 819 - Admission Decision - Stand Alone - Sl (ta-3)

Filling out the Part 819 - Admission Decision - Stand Alone - SL (TA-3) form online is a crucial step for individuals seeking admission to supportive living services. This guide provides a clear, step-by-step walkthrough to help you complete the form accurately and efficiently.

Follow the steps to complete your form accurately

1. Click the ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin by entering the resident's full name in the section labeled 'Resident Name.' Ensure that the name is spelled correctly to avoid any issues with identification.
3. Next, input the resident ID number in the 'Resident ID #' field. This identifier is essential for processing the admission decision and should be accurate.
4. Carefully review the screening information, initial determination, and level of care determination as indicated in the form. This step is vital for ensuring that the admission decision is well-informed.
5. Select the checkbox confirming that the individual can be admitted to a Supportive Living Service, provided they can achieve or maintain abstinence and recovery goals with residential services.
6. Evaluate each of the four criteria listed. Confirm that all four criteria regarding the individual’s need for an alcohol and drug-free environment, peer support, lack of need for 24-hour supervision, and the ability to maintain abstinence are met.
7. If the individual is not admitted, clearly state the reasons in the designated section. Include any referrals to more appropriate care if applicable.
8. Finally, ensure to sign and date the form in the spaces provided for the signature of the authorized representative and the date of the decision.
9. Once all fields are completed, review the form for accuracy. You can then save your changes, download a copy, print it, or share it as necessary.

Start completing your documents online today for a smoother admission process.