This is a legal form that was released by the Indiana Family and Social Services Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is State Form 53502?
A: State Form 53502 is a Falls Risk Assessment form in Indiana.
Q: What is the purpose of State Form 53502?
A: The purpose of State Form 53502 is to assess the risk of falls in individuals.
Q: Who uses State Form 53502?
A: State Form 53502 is used by healthcare professionals in Indiana.
Q: Why is assessing falls risk important?
A: Assessing falls risk is important to identify individuals who are at a higher risk of falling and to implement preventive measures.
Q: What information does State Form 53502 collect?
A: State Form 53502 collects information about an individual's medical history, current medications, recent falls, balance and mobility, and environmental factors.
Q: Is State Form 53502 mandatory?
A: The use of State Form 53502 may be mandatory in certain healthcare facilities or for specific patient populations in Indiana.
Q: Who should fill out State Form 53502?
A: Healthcare professionals, such as doctors or nurses, should fill out State Form 53502 based on their assessment of an individual's falls risk.
Q: Can individuals fill out State Form 53502 themselves?
A: No, State Form 53502 is typically filled out by healthcare professionals based on their expertise and assessment.
Form Details:
Download a printable version of State Form 53502 by clicking the link below or browse more documents and templates provided by the Indiana Family and Social Services Administration.