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MN (EAA) Environmental Accessibility AdaptationsHome Modification Assessment Referral
Service Code: T1028 UPI: A707657300
To: Access Solutions Email: AccessSolutions×centrexrehab.com Fax:
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How to fill out home modification assessment referral

How to fill out home modification assessment referral
01
Gather all necessary information about the client's home and specific modification needs.
02
Contact the appropriate agency or organization that handles home modification assessments.
03
Request a referral form for home modification assessment.
04
Fill out the referral form accurately and thoroughly, providing all required information.
05
Attach any supporting documents or medical reports that may be necessary for the assessment.
06
Submit the completed referral form and supporting documents to the designated agency or organization.
07
Follow up with the agency to ensure the referral has been received and processed.
08
Await the assessment appointment and provide any further information or documentation as requested.
09
Attend the scheduled assessment appointment and provide access to the client's home for evaluation.
10
Review the assessment findings and recommendations provided by the assessing professional.
11
Follow through with the recommended modifications, either by contacting approved contractors or seeking funding assistance if needed.
12
Keep track of all communication and documentation related to the home modification assessment for future reference.
Who needs home modification assessment referral?
01
Anyone who requires modifications to their home to improve accessibility, safety, or mobility may need a home modification assessment referral.
02
This includes individuals with disabilities, seniors with mobility impairments, individuals recovering from injuries or surgeries, or anyone facing difficulties navigating their home environment.
03
Healthcare professionals, caregivers, or family members advocating for the well-being of individuals with specific needs may also seek a home modification assessment referral on their behalf.
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What is home modification assessment referral?
Home modification assessment referral is a process to evaluate the need for modifications or adaptations to a home in order to improve accessibility and safety for individuals with disabilities or mobility limitations.
Who is required to file home modification assessment referral?
Home modification assessment referral may be required to be filed by healthcare providers, social workers, occupational therapists, or other professionals involved in the care of individuals with disabilities.
How to fill out home modification assessment referral?
To fill out a home modification assessment referral, one must provide detailed information about the individual's needs, the current home environment, and any specific modifications or adaptations that are recommended.
What is the purpose of home modification assessment referral?
The purpose of home modification assessment referral is to ensure that individuals with disabilities have access to a safe and accessible home environment that meets their specific needs.
What information must be reported on home modification assessment referral?
Information that must be reported on a home modification assessment referral includes the individual's medical history, current living situation, specific needs or limitations, and recommended modifications or adaptations.
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