Form LTC-2 Pre-admission Screening and Resident Review - Alaska

Form LTC-2 Pre-admission Screening and Resident Review - Alaska

What Is Form LTC-2?

This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LTC-2?
A: Form LTC-2 is the Pre-admission Screening and Resident Review form in Alaska.

Q: What is the purpose of Form LTC-2?
A: The purpose of Form LTC-2 is to assess the functional and cognitive ability of an individual before they are admitted to a long-term care facility in Alaska.

Q: Who needs to complete Form LTC-2?
A: The Form LTC-2 needs to be completed by a licensed professional, such as a nurse, social worker, or physician.

Q: What information is required on Form LTC-2?
A: Form LTC-2 requires information about the individual's medical history, functional abilities, cognitive abilities, and any previous long-term care services received.

Q: Is there a fee for completing Form LTC-2?
A: There is no fee for completing Form LTC-2.

Q: What happens after Form LTC-2 is completed?
A: After Form LTC-2 is completed, it is reviewed by the long-term care facility to determine if the individual meets the criteria for admission.

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Form Details:

  • Released on December 27, 2019;
  • The latest edition provided by the Alaska Department of Health and Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LTC-2 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

Download Form LTC-2 Pre-admission Screening and Resident Review - Alaska

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