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How to fill out the FTLD Module Forms And Documentation, NACC, Alzheimer's Disease... online
This guide provides a comprehensive overview of how to complete the FTLD Module Forms and Documentation for the National Alzheimer's Coordinating Center (NACC) online. Users will find detailed instructions for each section of the form, ensuring a clear and supportive process for accurate submission.
Follow the steps to complete the FTLD Module Forms accurately online.
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- Begin with gathering necessary information such as the center name and the Subject ID, which is required at the top of the form.
- Enter the form date and ADC visit number to ensure proper documentation. Make sure these details are accurate for efficient processing.
- Fill out the subject's physical measurements, including their height in inches and weight in pounds. Utilize ‘99.9’ or ‘999’ to indicate unknown measurements.
- Complete the blood pressure and resting heart rate sections, using ‘999/999’ for unknown blood pressure and ‘999’ for unknown heart rate.
- Move on to additional physical observations where you assess the subject's vision and hearing. Respond to each yes/no question using ‘1’ for yes, ‘0’ for no, and ‘9’ for unknown.
- For any individuals who use corrective lenses or hearing aids, fill out the corresponding follow-up questions regarding functional normalcy with those aids.
- Review all entered information for accuracy and completeness before finalizing.
- Save your changes, and proceed to download, print, or share the form as needed to complete your record keeping.
Start filling out your FTLD Module Forms online today!
DOCUMENTATION TIPS Document the underlying condition, specify the type of dementia and report the diagnoses supported by the documentation. Reporting dementia requires two diagnosis codes and in later stages may require three diagnosis codes to fully support the severity of illness.
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