Home care initial assessment form 2026

1. Click ‘Get Form’ to open the home care initial assessment form in the editor.
2. Begin by entering the resident's name and date at the top of the form. This information is crucial for identification and record-keeping.
3. Fill in the preferred name and NHI number, ensuring accuracy for effective communication and care coordination.
4. In the 'Resuscitation' section, circle or tick the appropriate options based on the resident's preferences and medical directives.
5. Complete sections on mobility, communication, and dietary needs by selecting from provided options. Be detailed about any specific requirements or preferences.
6. Assess hygiene needs, mental state, and any special considerations like incontinence or mobility aids. Document these accurately to ensure tailored care.
7. Finally, have both the resident/family member and staff sign at the bottom of the form to validate the assessment.

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