2126 form-2025

Show details

4.8 out of 5

102 votes

The document is a notification form for facility admission or discharge that must be completed within 5 days of a resident's admit or discharge. It includes sections for resident and facility information, CARE/PASRR/Pre-Admission Screening requirements, details about the admission, temporary absence, and discharge or deceased status. The form is specifically not applicable for Assisted Living Facilities and must be submitted to the KanCare Clearinghouse.

Here's how it works

01. Edit your 2126 form 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 2126 form via email, link, or fax. You can also download it, export it or print it out.

How to rapidly redact 2126 form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for updating your forms online. Adhere to this straightforward guideline edit 2126 form in PDF format online free of charge:

Sign up and sign in. Create a free account, set a strong password, and proceed with email verification to start managing your templates.
Add a document. Click on New Document and select the form importing option: upload 2126 form from your device, the cloud, or a secure URL.
Make changes to the sample. Take advantage of the top and left-side panel tools to redact 2126 form. Add and customize text, pictures, and fillable fields, whiteout unnecessary details, highlight the important ones, and comment on your updates.
Get your paperwork completed. Send the sample to other people via email, create a link for faster document sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail included.

Try all the benefits of our editor right now!

Try more PDF tools