Client Acuity Scale Worksheet - michigan.gov
Client Name ________________________________________ ____________ Client Number _______________________________________ PAGE TOTAL ________ 1Client Acuity Scale Worksheet Date of Assessment ___________ Clients are assigned to a Level if they meet one or more of the criteria listed within each Level. Point values are different for different LIFE AREAS by page. Life Area Level #1 (1 point) Level #2 (4 points) Level #3 (6 points) Level #4 (8 points) Comments Basic Needs Level _______ Points _______ __ Food, clothing, and other sustenance items available through Client s own means.
Client Name _____ Client Number _____ PAGE TOTAL _____ 1 Client Acuity Scale Worksheet
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