Assisted living medical evaluation 2026

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  1. Click ‘Get Form’ to open the assisted living medical evaluation in the editor.
  2. Begin by entering the child's last name, first name, and legal county in the designated fields. Ensure accuracy as this information is crucial for identification.
  3. Fill in the status date, which should reflect one year from the roundtable date. This helps track progress over time.
  4. In the section for current staff person, indicate if there is a different case manager or supervisor by marking the appropriate box and providing their email address.
  5. Select the residential setting that best matches the child's current living environment from the provided options. If none match exactly, choose the closest option and describe it in the space provided.
  6. Rate the child’s current permanency status based on consultation with relevant parties. This rating is essential for understanding their situation and planning next steps.
  7. Complete any additional sections regarding permanency achieved or reasons for not achieving permanency, ensuring all items are filled out unless instructed otherwise.

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