Skip to content
Interdisciplinary IRF Forms
Interdisciplinary IRF Forms

Interdisciplinary IRF Forms

$ 400.00

Separate interdisciplinary templates curated by IRF industry experts that address each patient’s IRF stay from preadmission through discharge.

  • Pre-admission Screening Form
  • History and Physical Form
  • Interdisciplinary Evaluation Form Nursing Admission Evaluation
  • Interdisciplinary Evaluation Form OT/PT
  • Interdisciplinary Evaluation Form Addendums for IRF-PAI Sections:
    • A, Administrative Information
    • D, Patient Mood Interview
    • H, Bladder and Bowel Continence
    • J, Health Conditions
    • K, Nutritional Approaches
    • N, Medications
    • O, Special Treatments, Procedures, and Programs
  • Interdisciplinary Evaluation Form Addendums:
    • Nutrition Evaluation
    • Recreational Therapy Evaluation
    • SLP Cognitive/Communication Evaluation
    • Social Work/Case Management Evaluation
  • Admission Cognitive Patterns Worksheet
  • Bedside Swallow Evaluation
  • Individualized Overall Plan of Care Form
  • Physician SOAP Note
  • Weekly Team Conference Form
  • Bedside Swallow Evaluation
  • Physician Discharge Summary Form

These helpful forms are useful for assessing patients in the IRF setting and meeting documentation requirements for CMS’s “reasonable and necessary” criteria and for IRF-PAI completion. Each form provides the user with adequate space to record patient-specific documentation that meets these requirements. Whether you use paper forms for documentation or you need adequate backup forms for your current EMR system, the Netsmart® Interdisciplinary IRF Documentation Forms can meet your facility’s compliance needs.

All these forms, as well as the addenda that will help you maximize the documentation in the Interdisciplinary Evaluation Form, are available as a single package for just $400.

Please note: After purchasing, the download will begin automatically and can take several minutes. You will receive an email once your download is ready.