Get Ok Foundation For Medical Quality 962pu-1019 2010-2025

The OK Foundation For Medical Quality 962PU-1019 form is essential for gathering vital information concerning residents prior to their acceptance into a long-term care or skilled facility. This guide provides clear and concise steps to assist users in completing the form correctly online.

Follow the steps to effectively complete the form online.

1. Utilize the ‘Get Form’ button to access the form and open it in your chosen online editor.
2. Enter the name of the resident in the designated field, followed by their age and date of birth.
3. Provide the diagnosis and referral facility information as required.
4. Indicate if there is a history of falls or recent restraint use by selecting 'Yes' or 'No'.
5. In the behavioral/mobility section, provide information based on the resident's conditions, such as ventilator use and tracheostomy status.
6. Fill out the cognition and behavioral issues sections, selecting the appropriate responses.
7. For elimination history, report any urinary tract infections, including answers about incontinence and catheter use.
8. Address any skin/wound concerns by indicating if the resident has pain or a wound, and provide any necessary details about the wounds.
9. Complete the nutrition-related questions, including recent weight changes, swallow studies, and lab results.
10. In the comments section, document any additional relevant information that may assist health care providers.
11. Finalize by signing and dating the form in the designated spaces. Review all entries for accuracy.

Complete the necessary documents online to ensure quality care.