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Authorization for Disclosure of Protected Health Information 34700 Valley Road, Oconomowoc, WI 53066 2626464411 406 Science Drive Suite 110 Madison, WI 53711 6082384411 11101 W. Lincoln Avenue West
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Who needs for continuing care purposes:

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Individuals who require ongoing medical or long-term care, such as the elderly or those with chronic illnesses, may need to fill out forms for continuing care purposes.
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Patients who are transitioning from one healthcare setting to another, such as from a hospital to a nursing home, may be required to fill out these forms to ensure continuity of care.
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Family members or legal guardians of individuals who are unable to fill out the forms themselves, due to physical or cognitive limitations, may be responsible for completing the forms on their behalf.
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Healthcare professionals, such as doctors or case managers, may also need to fill out these forms to provide essential information and support for the individual's continuing care needs.
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Continuing care purposes refer to the ongoing support and assistance provided to individuals who require long-term care or assistance with daily living activities.
Individuals who are in need of long-term care or assistance with daily living activities are required to file for continuing care purposes.
To fill out for continuing care purposes, individuals need to provide detailed information about their medical history, current needs, and preferences for care.
The purpose of continuing care purposes is to ensure that individuals receive the appropriate level of support and assistance to meet their long-term care needs.
Information that must be reported on for continuing care purposes includes medical history, current health status, daily living activities assistance needs, and preferences for care.
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