Screening form 2026

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The document is a Medical PREA Screening Form used to assess inmates for their risk of being sexually assaulted or sexually abusing others. It includes a series of questions aimed at identifying inmates who are at risk (ATRSK) or pose a risk (RSKOF), with medical staff documenting responses and making recommendations for special housing based on the findings.

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Click ‘Get Form’ to open the screening form in the editor.
Begin by entering the inmate's name and C.I.D. number at the top of the form. This information is crucial for identification purposes.
Proceed to the PREA Medical Screening section. Answer each question regarding mental or physical disabilities that may place the inmate at risk of sexual assault. Select 'Yes' or 'No' as appropriate and provide any necessary medical comments.
Continue through each question, ensuring to answer about sexual orientation and past victimization accurately. Each response will guide medical staff in determining housing needs.
After completing all questions, review your entries for accuracy before submitting. Ensure that medical staff signatures are included where required.

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