My Cart (0)

Welcome! Log In or Register        How to best view this site

MED-PASS:  The Fine Art of Document Design

Section C - BIMS Interview for MDS 3.0 Data Collection Tool - 100/pad


Availability: In stock

Price: $10.75
  • Buy 5-9 for $9.90 each and save 8%
  • Buy 10 or more for $8.30 each and save 23%

Use this stand-alone form to capture resident responses to the MDS 3.0 Section C BIMS (Brief Interview for Mental Status.) This stand-alone form gives the responsible discipline the ability to maintain their own interview documents and manage their work flow.

Be sure to see these complementary products:

An alternative format that consolidates all 4 interviews on one form is available also - see CP3000 in Related Products below.

  • Language and format coincide with the MDS 3.0 data set
  • Includes prompts to confirm items A1100 (Language) and B0700 (Makes Self Understood) essential in the interview process
  • RAI Version 3.0 Manual page numbers pertinent to the interview topic are listed at the bottom of the page for quick reference
  • Conducting the Interview tips and suggested language provided
  • To aid in the transfer of collected data this form’s two color design includes purple to match corresponding sections on the MED-PASS MDS 3.0 Item Sets also printed in PURPLE
  • For a complete set of individual MDS 3.0 Resident Interview forms – see Related Products below
Size 8 1/2 x 11
Unit Pad of 100
Number of Pages 1
Other Info Handwritten
Hole Punch 5 holes left, 5 holes top

Product Tags

Use spaces to separate tags. Use single quotes (') for phrases.