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SHORT TERM REHABILITATION
READMISSION APPLICATION INSTRUCTIONS
Brookside Care Center
3506 Washington Road
Kenosha, Wisconsin 53144
(262) 6533800 Office (262) 6533850 FAX
ADMISSION PROCESS:
1. Complete
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How to fill out short term rehabilitation pre-admission

How to fill out short term rehabilitation pre-admission:
01
Begin by carefully reading the instructions provided with the pre-admission form. This will help you understand what information is required and in what format.
02
Start by providing your personal information such as your full name, date of birth, address, and contact details. Ensure that all the information is accurate and up to date.
03
Next, provide details about your current medical condition. You may need to provide information about any recent surgeries, medical treatments, or medications you are currently taking.
04
Provide a brief summary of the reason for needing short term rehabilitation. This can include any recent injuries or medical conditions that require specialized care.
05
If applicable, provide details about any current insurance coverage or Medicare/Medicaid benefits that you may have. This will help the rehabilitation facility determine the financial arrangements for your stay.
06
If you have any specific preferences or requirements, such as dietary restrictions or mobility assistance, make sure to mention them in the form.
07
If you have a preferred or recommended rehabilitation facility, provide its name and contact information. However, keep in mind that availability may vary, and the final decision may be made by the facility.
08
Finally, sign and date the form, ensuring that you have completed all the necessary sections. Review your answers before submitting to ensure accuracy.
Who needs short term rehabilitation pre-admission?
01
Individuals who have recently undergone surgery and require specialized care and therapy to aid in their recovery.
02
Individuals who have experienced a traumatic injury and need intensive rehabilitation to regain their functional abilities.
03
Individuals with certain medical conditions or chronic illnesses that may benefit from short term rehabilitation to improve their overall well-being and quality of life.
04
Patients who have been discharged from a hospital and need additional care, monitoring, and rehabilitation before returning home.
Remember, the necessity for short term rehabilitation pre-admission will depend on your specific medical needs and the recommendations of medical professionals involved in your care. Always consult with your healthcare team to determine the most appropriate course of action.
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What is short term rehabilitation pre-admission?
Short term rehabilitation pre-admission is the process of submitting necessary paperwork and information before a patient is admitted to a rehabilitation facility for short term care.
Who is required to file short term rehabilitation pre-admission?
Patients who are in need of short term rehabilitation care are required to file pre-admission paperwork.
How to fill out short term rehabilitation pre-admission?
To fill out short term rehabilitation pre-admission, patients need to provide personal information, medical history, insurance details, and any other relevant documents requested by the facility.
What is the purpose of short term rehabilitation pre-admission?
The purpose of short term rehabilitation pre-admission is to ensure that the facility has all the necessary information to provide the best care possible to the patient.
What information must be reported on short term rehabilitation pre-admission?
Information such as personal details, medical history, insurance information, emergency contacts, and any specific care needs must be reported on short term rehabilitation pre-admission.
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