Mississippi pre admission 2026

1. Click ‘Get Form’ to open the Mississippi Pre Admission form in the editor.
2. Begin with the 'Intake' section. Fill in the names and credentials of the screeners, along with their organization and contact details. Ensure all required fields marked with an asterisk are completed.
3. Proceed to enter the personal information of the individual being screened, including their name, address, Medicaid number, and date of birth. Pay special attention to required fields.
4. In the 'Functional Screen' section, assess and score each activity of daily living (ADL) based on the individual's capabilities over the past 30 days. Use whole numbers for scoring as specified.
5. Continue through sections detailing medical conditions, social supports, and home environment. Make sure to check all applicable boxes and provide comments where necessary.
6. Finally, review all entries for accuracy before saving or submitting your completed form. Utilize our platform's features for easy editing and signing.

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