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Form 02HM003E (AG-2, Part III) Uniform Comprehensive Assessment, Part III - okdhs

Form 02HM003E (AG-2, Part III) Uniform Comprehensive Assessment, Part III - okdhs 2025

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The document is a comprehensive assessment form used by the Oklahoma Department of Human Services to evaluate the medical, functional, and social needs of consumers requiring long-term care. It includes sections for mental status evaluation, health conditions, medication use, activities of daily living (ADLs), instrumental activities of daily living (IADLs), consumer support, social resources, mental health status, environmental safety, caregiver assessment, and recommendations for care. The assessment aims to determine the level of assistance needed and to develop an appropriate service plan.

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