Rcf e resident evacuation assessment form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Facility Name', 'Date', 'Completed By', and 'Time' in the designated fields at the top of the form. This information is crucial for identifying the assessment.
3. Next, assess and select the appropriate 'Level of Care' for each resident. Review the descriptions provided for Level I, II, and III to ensure accurate categorization based on their medical needs.
4. Indicate the 'Facility Type' and 'Transport Type' that will be used during evacuation. Choose from options like Hospital, SNF, or Subacute for facility type, and BLS or Wheelchair Van for transport type.
5. Finally, input the total 'Number of Residents' requiring evacuation. Ensure all entries are accurate before saving your completed form.

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