Section 2 Part D: Existing Assessments

Part D: Existing Assessments

Have any of the following assessments been completed with the applicant?

Yes – Provide details below

No – Go to Part E

  • Care and Needs Scale (CANS)
  • Gross Motor Functional Classification Scale (GMFCS)
  • Hearing Acuity Score
  • Diagnostic & Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
  • Visual Acuity Score
  • Other:

Providing copies of existing assessments helps the applicant to get a quick and accurate eligibility decision and reduces delays for the person when they have to provide more information.


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