Adult LTC FS Clinical Instructions

The Adult Long-Term Care Functional Screen clinical instructions are available both by individual module and as a complete document. Please note that the complete document is a large file and may take awhile to download, especially if you are using a modem. 

View/print complete set of clinical instructions: 

LTC FS Clinical Instructions (PDF, 573 KB) Revised 11/17/09, unmarked copy, 118 pgs 

Marked copy (PDF, 460 KB) of the LTC FS Clinical Instructions with recent changes highlighted so that screeners are able to note new areas.

View/print by module:

• Module 1: Overview of the LTC FS  
• Module 2: LTC FS Target Groups 
• Module 3: LTC FS Basic Information (Screen Information, Demographics)
• Module 4: ADLs and IADLs 
• Module 5: Diagnosis 
• Module 6: Health-Related Services (HRS) Table  
• Module 7: Communications & Cognition 
• Module 8: Behaviors/Mental Health  
  • View the supplemental training webcast (Help)
  • PowerPoint handouts (PDF, 195 KB)
• Module 9: Risk
• Module 10: Completion of the Screen and Notes

Back to: Wisconsin's Functional Screen Home Page

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Last Revised:  November 20, 2009