MSSI-SA (SA4SSRv2)

Jump to Section: 

Form Details

• Form Properties
  1. Form Title- MSSI-SA
  2. Start from an Existing Form- Yes, if there is a previous version signed and locked.
  3. Copyrighted Form- No
  4. Billable Progress Note- No
  5. Have multiple versions open at same time- Yes
  6. Open Blank on new version- No
• Required Fields- None
• Lookup Tables- None
• Pre-Fill Logic- Yes
  1. Name will prefill from Patient Details.
  2. Place/Location will prefill from Chart Details.
• Fill to Logic- None
• Signatures
  1. Staff Signature
     • Sig type- Any
     • Signature locks the form.
  2. Client Signature (Optional)
     • Sig type- Patient

[Back to Top]

Page 1 Tab

1. Complete the questionnaire as directed.

[Back to Top]

Page 2 Tab

Continue to complete the questionnaire as directed.!--2i-->

[Back to Top]

Page 3 Tab

1. Prefill
   • Name will Prefill from Name on chart.
   • Place/Location will Prefill from location patient enrolled in.
2. Score will calculate on form entries.
3. Signature Credentials (see Credentials - Create, Assign & Edit for more information.)
   • Staff Signature
     • Sig type- Any
     • Signature locks the form.
   • Client Signature (Optional)
     • Sig type- Patient

[Back to Top]