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Personal Care Readmission Screening Form Facility/Agency/Person making referral: Name: Address: Contact Person: Phone: () Fax: (Check only one: Personal Care I. ? Initial) ? Re-evaluation DEMOGRAPHIC
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What is personal care pre-admission screening?
Personal care pre-admission screening is a process where individuals are evaluated to determine their eligibility for receiving personal care services.
Who is required to file personal care pre-admission screening?
Individuals who are seeking to receive personal care services are required to file personal care pre-admission screening.
How to fill out personal care pre-admission screening?
To fill out personal care pre-admission screening, individuals need to provide their personal information, medical history, and other relevant details as requested in the assessment form.
What is the purpose of personal care pre-admission screening?
The purpose of personal care pre-admission screening is to assess the individual's need for personal care services and determine their eligibility for receiving such services.
What information must be reported on personal care pre-admission screening?
The information that must be reported on personal care pre-admission screening includes personal details, medical history, living situation, and any specific needs or requirements.
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