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E, Uniform Comprehensive Assessment, Part I, Intake and Referral. Numbers in parenthesis refer to item numbers in the Oklahoma Long-Term Care Authority (OLTCA) Manual. (1) Consumer name Date Social Security number (2) (3) Location of: Case number assessment consumer's residence hospital Unique ID number reassessment relative's home other, specify nursing home Mental status questionnaire (MSQ) (Assessor) Write responses to questions. Do not score until section is completed. Count one error.

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How to fill out the OK Form 02HM001E online

This guide provides a comprehensive overview of filling out the OK Form 02HM001E online. Whether you are familiar with legal documents or a first-time user, this step-by-step guide will assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the OK Form 02HM001E online.

  1. Click the 'Get Form' button to obtain the form and open it in the online editor.
  2. Fill in the consumer's name, date, and Social Security number in the designated fields. Ensure this information is accurate as it is critical for processing.
  3. Indicate the location of the assessment, selecting from options such as the consumer's residence or a hospital. Provide any applicable case numbers.
  4. Complete the mental status questionnaire by writing responses to the questions as instructed. Be mindful of the scoring system and do not score until all questions are completed.
  5. Proceed to the health assessment section. Check the source of information used and ask the consumer about their health conditions, documenting each condition as necessary.
  6. Continue filling out the sections regarding drug, alcohol, and tobacco use. Specify any medications used and document the pharmacy details.
  7. Complete the functional assessment sections by checking sources of information, indicating levels of assistance needed for daily living activities.
  8. Fill in the consumer support, social resources, and mental health sections carefully, providing as much detail as necessary to reflect the consumer's situation.
  9. In the caregiver assessment, provide information about the caregiver’s involvement, including how often they assist and what kind of assistance is provided.
  10. After all fields are filled, review the form for accuracy. Make necessary corrections to ensure completeness.
  11. Once satisfied with the entries, users can save changes, download a copy, print the form, or share it as required.

Complete your documents online today for a streamlined and efficient process.

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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
OK Form 02HM001E
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