TX HHS Form 6515. CLASS or DBMD Nursing Assessment

The TX HHS Form 6515, CLASS or DBMD Nursing Assessment, is a crucial tool for healthcare professionals to assess the needs of individuals with disabilities. This form helps solve the problem of identifying the individual's nursing requirements, which enables caregivers to provide personalized care and support.

This assessment form typically fills out by healthcare professionals, such as registered nurses (RNs), in situations where an individual requires ongoing care and support due to a disability or medical condition. The required information includes the individual's name, Medicaid number, date of birth, and reason for assessment. The form also covers living arrangements, primary support providers, and home conditions, including safety, hygiene, and communication methods.

The key features of this form include sections on protective devices (for DBMD only), changes in needs or service delivery options, and comments on the individual's communication abilities. The form also asks about the individual's immunization status, with options for unknown, up-to-date, or not up-to-date. By completing this assessment, healthcare professionals can identify areas where the individual may require additional support or services.

• This form is used to assess individuals with disabilities, including those with CLASS (Community Living Assistance and Support Services) or DBMD (Deaf Blind with Multiple Disabilities) needs.
• The assessment covers various aspects of an individual's life, including living arrangements, communication methods, and immunization status.
• This form is typically filled out by healthcare professionals, such as registered nurses (RNs), to identify the individual's nursing requirements and provide personalized care and support.