Idhs form dmhdd 40 2026

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The document is a printable assessment form from the State of Illinois Department of Human Services, specifically designed for evaluating Tardive Dyskinesia (TD) through the Dyskinesia Identification Condensed Users Scale (DISCUS). It includes various items to score abnormal involuntary movements across different body areas, cooperation levels, and prerequisites for TD diagnosis. The form also requires physician evaluation and documentation of current medications, with specific instructions for completion and filing.

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Click ‘Get Form’ to open the idhs form dmhdd 40 in the editor.
Begin by filling out the individual's identification details at the top of the form, including their name, date of birth, and ID number.
Proceed to assess each item listed under the DISCUS section. For each symptom, circle the appropriate score from 0 to 4 or NA based on your observations.
Next, indicate the cooperation level by circling one option that best describes the individual's engagement during assessment.
Select the exam type by checking one of the provided options that corresponds to your evaluation period.
Complete any additional sections such as current antipsychotics and physician's evaluation as required. Ensure all fields are filled accurately.
Once completed, save your changes and export or print the document directly from our platform for submission.

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