PASRR Level 1 Screening Form - TMHP.com 2026

Get Form
pasrr level 1 Preview on Page 1

Here's how it works

01. Edit your pasrr level 1 online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send pasrr form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out PASRR Level 1 Screening Form - TMHP.com with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the PASRR Level 1 Screening Form in our editor.
  2. Begin with Section A, where you will enter Submitter Information. Fill in your name, address, and relevant identification numbers such as NPI/API and Contract No.
  3. Proceed to Referring Entity Information. Enter the date of assessment and details about the screener, including their name, position, and type of entity.
  4. In Section B, provide Personal Information for the individual being screened. This includes their name, Social Security number, birth date, and gender.
  5. Continue to Section C to answer questions regarding mental health indicators. Select 'Yes' or 'No' based on the individual's condition.
  6. Complete Sections D through F by providing information about nursing facility choices and admission categories as required.

Start using our platform today to fill out your PASRR Level 1 Screening Form easily and for free!

See more PASRR Level 1 Screening Form - TMHP.com versions

We've got more versions of the PASRR Level 1 Screening Form - TMHP.com form. Select the right PASRR Level 1 Screening Form - TMHP.com version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2017 4.8 Satisfied (151 Votes)
2013 4 Satisfied (40 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Skilled nursing facilities typically offer three levels of care - Level 1: Basic Care, Level 2: Skilled Care, and Level 3: Specialized Care. The appropriate level of care is determined based on the individuals care needs, medical conditions, and the level of assistance required for activities of daily living (ADLs).
In the case of an RR, the NF initiates the process by submitting a Level I Screening as an RR in the PASRR system. A Level 1 Screening is used to identify if an individual has, or is suspected of having, a PASRR condition, i.e., SMI, ID/DD, or RC.
Access the PASRR Online System. Select the Log In button. Enter your email and password. A code will be sent to your cellphone. Enter the code and select Verify. Once logged on, select the PASRR icon. Please follow the instructions in the MS Azure Registration Manual for more information.
After your surgery is scheduled, the next step is to complete an interview with Pre-admission Testing (PAT). PAT helps to ensure that you are in your best possible condition before surgery or a procedure. This can mean that you may need further evaluation or testing.
A Level 1 Screening involves completion of an evaluation to determine if an individual has, or is suspected of having, a PASRR condition, i.e., serious mental illness (SMI), intellectual disability (ID), developmental disability (DD), or related condition (RC).

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more
be ready to get more

Complete this form in 5 minutes or less

Get form