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Click ‘Get Form’ to open the DHS-6791B in the editor.
Begin by filling out the 'Person Information' section. Enter the individual's first name, middle initial, last name, date of birth, and contact details including address and phone number.
Next, indicate whether this is a new assessment or a reassessment by selecting the appropriate option. Fill in the assessment ID and home care rating as required.
Proceed to the 'Support Plan' section. Here, outline what is important to the individual by setting goals and target dates for achieving them. You can add multiple goals as needed.
In the 'Health and Safety Issues' section, answer yes or no to each question regarding safety concerns and assistance needs during emergencies.
Continue through each section of the form, providing detailed information about personal assistance needs, supportive services required, and any other relevant details.
Finally, review all entries for accuracy before signing at the end of the document. Ensure that all necessary signatures are included.
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Contact Information for DHS Headquarters Operator Number: 202-282-8000. Comment Line: 202-282-8495. TTY: Use the Federal Relay Service for either number above. DHS Mailing Address.
What is a 6791E?
MnCHOICES Reassessment Communication Form (6791E) Case managers and certified assessors use the 6791E form. to communicate between lead agencies. The form was developed by the Reassessment Workgroup.
What is the DHS component disability program?
Component Disability Access Plans Components developed these plans to address potential barriers and gaps in disability access identified in their self-evaluations.
What is a DHS no show?
A DHS No Show indicates that the employee did not contact DHS within eight Federal Government working days. A DHS No Show case result is considered a Final Nonconfirmation. A Final Nonconfirmation means that the case must be closed in E-Verify.
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