This is a legal form that was released by the Hawaii Department of Human Services - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DHS1178 Preadmission Screening Resident Review (Pas/Rr) - Level I Screen?
A: The DHS1178 Preadmission Screening Resident Review (Pas/Rr) - Level I Screen is a form used for preadmission screening and resident review in Hawaii.
Q: What is the purpose of the DHS1178 form?
A: The purpose of the DHS1178 form is to assess the needs and eligibility of individuals seeking admission to a long-term care facility in Hawaii.
Q: Who uses the DHS1178 form?
A: The DHS1178 form is used by healthcare professionals and facilities conducting preadmission screenings and resident reviews.
Q: What information is included in the Level I Screen?
A: The Level I Screen includes demographic information, medical history, physical examination findings, cognitive impairment assessment, and determinations on the individual's need for nursing facility level of care.
Q: Is the DHS1178 form mandatory?
A: Yes, the DHS1178 form is mandatory for individuals seeking admission to long-term care facilities in Hawaii.
Form Details:
Download a printable version of Form DHS1178 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Human Services.