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Student Health Services
Slippery Rock UniversityPOLICY
Medical Visit VerificationPolicy
Student Health Services (SHS) will issue a medical Visit Verification Form (VLF) to
students who request written
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How to fill out medical visit verification

How to fill out a medical visit verification:
01
Start by entering your personal information: Provide your full name, contact information, and any other details required by the form, such as your date of birth or social security number.
02
Fill in the healthcare provider details: Write down the name, address, and contact information of the medical facility or doctor you visited. Include the date of the visit and the purpose of your visit, whether it was for a routine check-up, treatment, or consultation.
03
Include the healthcare professional's information: If you were seen by a specific healthcare professional within the facility, make sure to provide their name, specialization, and any other relevant details requested on the form.
04
Document the services received: Indicate the specific medical services or procedures you underwent during your visit. This can include diagnostic tests, medication prescriptions, therapies, or any other treatments provided to you.
05
Note the duration of the visit: State the amount of time you spent at the medical facility, including the start and end time of your appointment. This information can be helpful for insurance purposes or to track your healthcare history accurately.
06
Attach any supporting documentation: If required, ensure you attach any necessary supporting documents, such as doctor's notes, diagnostic reports, or prescription receipts. These documents can further validate your medical visit verification.
Who needs medical visit verification?
01
Patients seeking reimbursement: Individuals who want to claim reimbursement for their medical expenses from their insurance company or employer often require medical visit verification. The verification serves as proof that the visit occurred and outlines the services received.
02
Employers and human resources departments: Companies may request medical visit verification to validate an employee's absence due to medical reasons. This helps in maintaining accurate records and justifies the need for time off.
03
Government agencies: Some government assistance programs, such as Medicaid or disability benefits, may require medical visit verification to verify eligibility and ensure that the healthcare services provided are necessary.
04
Legal purposes: In certain legal cases, such as personal injury claims or workers' compensation cases, medical visit verification can provide evidence of the injuries sustained and the medical treatment received.
Note: The need for medical visit verification may vary depending on specific circumstances, insurance policies, or legal requirements. It is always advisable to consult with the relevant parties or professionals to determine the specific requirements in each case.
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What is medical visit verification?
Medical visit verification is a process used to confirm that a patient has attended a medical appointment or received medical services.
Who is required to file medical visit verification?
Medical providers, healthcare facilities, or insurance companies may be required to file medical visit verification.
How to fill out medical visit verification?
Medical visit verification can be filled out by providing details of the patient, the medical appointment or services received, and any supporting documentation.
What is the purpose of medical visit verification?
The purpose of medical visit verification is to ensure that patients are receiving appropriate medical care and to prevent fraudulent claims.
What information must be reported on medical visit verification?
Information reported on a medical visit verification may include the date of the appointment, services provided, healthcare provider's information, and patient's details.
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