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 Community Living Assistance and Support Services (CLASS) or Deaf Blind with Multiple Disabilities (DBMD). This form helps identify changes in an individual's needs and service delivery options, ensuring they receive appropriate care.

This assessment requires essential information such as the individual's name, Medicaid number, date of birth, and reason for assessment. The form also includes sections on living arrangements, primary support providers, home conditions, and communication methods. Notably, the DBMD-specific section asks about protective devices and changes in needs. Common scenarios for using this form include initial assessments, annual reassessments, or post-hospitalization evaluations.

The form's importance lies in its ability to capture critical information about an individual's health, safety, and hygiene. The assessment also explores communication methods, including verbal, paralinguistic, and non-verbal cues. Additionally, the form asks about immunizations and potential adverse reactions. By completing this form, healthcare professionals can develop personalized care plans that meet the unique needs of individuals with CLASS or DBMD.