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LTC SCREENING MANUAL REFERRAL FORM Type Of Assessment: PASSPORT LCC LOC Assisted Living Complete and Fax to PASSPORT Screening: 4193824603 Client Demographics: Referral Date: / Client Name: DOB: /
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How to fill out ltc screening manual referral

01
Read the LTC screening manual referral carefully to understand the process and requirements.
02
Gather all necessary information about the patient and their medical history.
03
Fill out the referral form accurately with the required details.
04
Include any supporting documents or medical reports as specified.
05
Submit the completed referral form and supporting documents to the designated authority.
06
Follow up with the authority if there are any additional requirements or queries.
07
Wait for the screening process to be completed and a decision to be made.
08
Provide any additional information or clarification if requested by the screening authority.
09
Receive the screening result and follow the instructions accordingly.

Who needs ltc screening manual referral?

01
Patients who require long-term care services or support may need LTC screening manual referral.
02
Individuals with chronic or disabling conditions who need assistance with activities of daily living.
03
People seeking admission to long-term care facilities such as nursing homes or assisted living facilities.
04
Patients who are being discharged from hospitals and require specialized long-term care services.
05
Individuals who are recommended for long-term care services by healthcare professionals.
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LTC screening manual referral is the process of referring individuals for long-term care assessment based on certain criteria.
Healthcare professionals or social workers are required to file LTC screening manual referral.
LTC screening manual referral can be filled out by providing the necessary individual's information and reason for referral.
The purpose of LTC screening manual referral is to assess an individual's need for long-term care services.
Information such as individual's demographics, medical history, current care needs, and reason for referral must be reported on LTC screening manual referral.
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