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.
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.
Form Details:
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.