TX HHS Form 1014. Pre-Admission Screening and Resident Review PASRR Evaluation Summary Report

The TX HHS Form 1014, Pre-Admission Screening and Resident Review (PASRR) Evaluation Summary Report, is a summary of the results of a PASRR evaluation that determines whether an individual qualifies for specialized services. This form helps solve the problem of identifying individuals who require specialized care and services in various settings.

This report provides information about the person who conducted the evaluation, including their qualifications and contact details. The report also outlines the recommended specialized services, which are categorized into Intellectual Disability (ID)/Developmental Disability (DD) and Mental Illness (MI). The form highlights the importance of interdisciplinary team meetings to discuss these recommendations and ensures that individuals receive the necessary care and support.

The PASRR Evaluation Summary Report is typically used in situations where an individual requires specialized services, such as habilitation coordination, day habilitation, or employment assistance. This report is filled out by a trained evaluator who conducts the PASRR evaluation. Key features of this form include:

• Summary of the PASRR evaluation results
• Recommended specialized services for ID/DD and MI
• Contact information for the evaluator
• Scheduled interdisciplinary team meeting to discuss recommendations