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PMF 3.17.1 High Needs Screening Form (9/2015) For Adult Members Agency Use Only Member Name:CIS #:DOB:Date of Initial Screening:The criteria below defines adult members with High Needs as those members
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How to fill out 1 - high needs

01
Start by gathering all the necessary information for filling out the form, such as the individual's personal details, contact information, and any specific needs or requirements they have.
02
Read through the form carefully and make sure you understand each section before proceeding.
03
Begin by filling out the basic information section, including the individual's name, date of birth, and address.
04
Move on to the section that asks for details about the individual's specific needs. Be thorough and provide as much information as possible to ensure accurate assessment.
05
Double-check all the information you have entered to make sure there are no errors or omissions.
06
If there are any additional documents or supporting materials required, make sure to include them with the completed form.
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Finally, submit the filled-out form according to the instructions provided. Keep a copy for your records.
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If you have any questions or need assistance, contact the appropriate department or agency for guidance.

Who needs 1 - high needs?

01
Individuals with high needs are those who require extensive support and assistance in various areas of their life.
02
This category usually includes individuals with severe physical or mental disabilities, chronic medical conditions, or profound developmental delays.
03
People who are unable to perform daily activities independently and rely on others for personal care, mobility, communication, or other essential needs are considered high needs.
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These individuals may require specialized services, equipment, therapies, and ongoing support to maintain their well-being and enhance their quality of life.
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Family members or caregivers of individuals with high needs may also benefit from resources and assistance programs specifically designed to help them provide the necessary care and support.

What is 1 - High Needs Screening (9/2015) Form?

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1 - High Needs Screening (9/2015) template instructions

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1 - high needs refers to a category of special education services for students who require additional support beyond what is typically provided in the classroom.
School districts are required to identify and provide services for students who meet the criteria for 1 - high needs.
To fill out 1 - high needs, school districts must evaluate students based on specific criteria and document the services provided in the student's Individualized Education Program (IEP).
The purpose of 1 - high needs is to ensure that students with disabilities receive appropriate support and services to help them succeed in school.
School districts must report on the number of students identified as 1 - high needs, the types of services provided, and the outcomes of those services.
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