PAS-45N, July 2012-2026

1. Click ‘Get Form’ to open the PAS-45N in the editor.
2. Begin by entering the Provider Number and Program Number at the top of the form. Ensure these are accurate as they are essential for identification.
3. Fill in the Provider Client ID, Sex, Birth Date, and Last 4 digits of SSN. This personal information is crucial for record-keeping.
4. In the Education at Discharge section, select the appropriate level of education completed. If there were discrepancies in prior entries, update them accordingly.
5. Next, indicate Employment Status by selecting from options such as 'Employed Full Time' or 'Unemployed'. Provide details on Length of Employment if applicable.
6. Complete sections regarding Social Services Work Experience and Primary Payment Source by checking relevant boxes.
7. For substance use history, accurately report on any substances used during treatment and their frequency. This includes filling out details for primary, secondary, and tertiary substances.
8. Finally, review all entries for accuracy before saving or submitting your completed form through our platform.

Start using our platform today to fill out your PAS-45N form easily and efficiently!