Get the free Pre-Admission Screening Sheet - Fresh Start Sober Living

Readmission Screening Sheet Name (print) Date of Birth Present Address (street, city, state, zip) ? Check if treatment facility Phone (home) Phone (work) Are you Alcoholic? ? Yes ? No Date of your

How to fill out pre-admission screening sheet

How to fill out pre-admission screening sheet:

1. Start by carefully reading the instructions provided on the pre-admission screening sheet. Make sure you understand all the questions and sections.
2. Begin by filling out your personal information accurately. This may include your full name, date of birth, address, contact number, and any additional requested details.
3. Move on to the medical history section. Answer all the questions honestly and provide detailed information about any previous medical conditions, surgeries, allergies, medications, or ongoing treatments.
4. If required, provide information about your family medical history, including any hereditary diseases or conditions.
5. The next section might inquire about your current lifestyle habits, such as smoking, alcohol consumption, exercise routine, and dietary preferences. Be truthful in your responses.
6. Some pre-admission screening sheets may have a section to gather information about your mental health history. If applicable, provide any relevant details about previous therapy, counseling, or mental health conditions.
7. If you have any specific concerns or requirements regarding your pre-admission screening process, there may be a section dedicated to documenting those. Mention any special requests or accommodations you may need.
8. Make sure to review your answers before submitting the pre-admission screening sheet. Double-check for any errors or missing information. It's essential to provide accurate and complete responses.

Who needs pre-admission screening sheet:

1. Individuals who are applying for admission to a specific program, institution, or facility may require a pre-admission screening sheet. This can include prospective students, patients, or individuals seeking specialized services.
2. Medical facilities often utilize pre-admission screening sheets to gather comprehensive information about patients before their admission. This ensures that the healthcare team is well-informed about the individual's medical history, lifestyle habits, and any specific requirements.
3. Pre-admission screening sheets may also be necessary for individuals seeking mental health services, rehabilitation programs, or long-term care facilities. These sheets help assess the individual's needs and determine their suitability for the program or facility.

In summary, filling out a pre-admission screening sheet entails providing accurate personal information, medical history, lifestyle habits, and any additional requested details. These sheets are typically required for individuals seeking admission to programs, institutions, or facilities, allowing the relevant authorities to assess their needs and suitability.

For pdfFiller’s FAQs

What is pre-admission screening sheet?

Pre-admission screening sheet is a form used to assess an individual's needs before admission to a facility or program.

Who is required to file pre-admission screening sheet?

Individuals seeking admission to a specific facility or program are required to file pre-admission screening sheet.

How to fill out pre-admission screening sheet?

Pre-admission screening sheet can be filled out by providing accurate and detailed information about the individual's needs and requirements.

What is the purpose of pre-admission screening sheet?

The purpose of pre-admission screening sheet is to ensure that individuals receive appropriate care and services according to their needs.

What information must be reported on pre-admission screening sheet?

Information such as medical history, current medications, dietary restrictions, mobility issues, and specific care needs must be reported on pre-admission screening sheet.

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