Florida Department of Elder Affairs 701T Non-Community Placement Assessment

Form Template

There are several options for adult day care.

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Residents can be placed at nursing homes, assisted living facilities, adult day care homes, and other long-term care facilities. Adults can also receive non-community placements and reside in private residences.

This Florida Department of Elder Affairs 701T Non-Community Placement Assessment Mobile App is a questionnaire template for non-community residents. This app features the following sections: demographic, memory, general health, sensory, and communication impairment, activities of daily living, instrumental activities of daily living, health conditions and therapies, mental health, nutrition, and medications. The app also records summaries and comments.

Use this app for adult day centers to best promote long-term care through adult day programs. As health services at an area agency, use this placement assessment tool to best ensure the quality of life for an elderly person through receiving the right therapeutic services. Use this app to best promote senior care and therapeutic caregiving through the most appropriate therapeutic programs per elderly client. Ensure the best quality living for patients with chronic conditions, special diets, cognitive impairment, and those with medication management needs through placing them in the right facility for him or her.

Features
  • Signature Capture
  • Image Capture
  • Conditional Fields
  • Submission Editing
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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