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Wisconsin Department of Health Services

Adult Long Term Care Functional Screen Instructions

The Adult Long-Term Care Functional Screen 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 LTC FS Instructions

Wisconsin Long Term Care Functional Screen Instructions (PDF, 888 KB) Revised 10/14/14, unmarked copy, 147 pages 

Marked copy (PDF, 647 KB) of the LTC FS Instructions with recent changes highlighted so that screeners are able to note new areas.

View/print by module:


Back to: Wisconsin's Functional Screen Home Page

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Last Revised:  October 14, 2014