Dmas 62 form 2026

1. Click ‘Get Form’ to open the DMAS-62 in the editor.
2. Begin by entering the patient’s name, Medicaid ID number, address, and phone number in the designated fields.
3. Fill in the screening date and ensure a physician, physician’s assistant, or nurse practitioner signs the form at the bottom.
4. Indicate nursing needs by checking appropriate boxes for suctioning, enteral feeds, medications, and other required care. Be sure to assess each need accurately based on frequency.
5. In the comments section, provide any additional information regarding specialized treatments or major procedures not covered elsewhere on the form.
6. After completing all sections, review your entries for accuracy before submitting. Use our platform's tools to save and share your completed form easily.

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