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Click ‘Get Form’ to open the PASRR Level I Screening form in the editor.
Begin by entering the present location of the individual being evaluated. Select from options such as NF, Hospital, Home, etc., and fill in their Social Security Number and Date of Birth.
Next, provide personal details including the name, age, gender, and address of the individual. Ensure all fields are filled accurately for a smooth process.
In Section I, indicate the nature of the request for screening by checking appropriate boxes regarding admission or resident review.
Proceed to Section II to check any applicable mental health conditions. This section requires careful attention to ensure all relevant disorders are noted.
Complete Section III by indicating provisional determinations if applicable. Make sure to include any required physician signatures.
Finally, review all entries for accuracy before submitting. Use our platform’s features to save or share your completed form easily.
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Fla. Admin. Code Ann. R. 59G-1.040 | State Regulations
Completed Preadmission Screening and Resident Review (PASRR) Level I Screen For Serious Mental Illness (SMI) and/or Intellectual Disability or RelatedRead more
PASRR requires that Medicaid-certified nursing facilities: Evaluate all applicants for serious mental illness (SMI) and/or intellectual disability (ID); OfferedRead more
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