Form preview

Get the free Transition of Care Form

Get Form
We are not affiliated with any brand or entity on this form
Illustration
Fill out
Complete the form online in a simple drag-and-drop editor.
Illustration
eSign
Add your legally binding signature or send the form for signing.
Illustration
Share
Share the form via a link, letting anyone fill it out from any device.
Illustration
Export
Download, print, email, or move the form to your cloud storage.

Why pdfFiller is the best tool for your documents and forms

GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

End-to-end document management

From editing and signing to collaboration and tracking, pdfFiller has everything you need to get your documents done quickly and efficiently.

Accessible from anywhere

pdfFiller is fully cloud-based. This means you can edit, sign, and share documents from anywhere using your computer, smartphone, or tablet.

Secure and compliant

pdfFiller lets you securely manage documents following global laws like ESIGN, CCPA, and GDPR. It's also HIPAA and SOC 2 compliant.
Form preview

What is Transition of Care

The Transition of Care Form is a medical records release document used by healthcare providers in New Hampshire to ensure seamless behavioral health care coordination during patient transitions.

pdfFiller scores top ratings on review platforms

Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Show more Show less
Fill fillable Transition of Care form: Try Risk Free
Rate free Transition of Care form
4.0
satisfied
53 votes

Who needs Transition of Care?

Explore how professionals across industries use pdfFiller.
Picture
Transition of Care is needed by:
  • Healthcare providers facilitating patient transitions
  • Primary Care Providers (PCPs) coordinating care with specialists
  • Patients requiring discharge information
  • Mental health professionals managing patient records
  • Insurance companies verifying care details
  • Administrators handling medical records
  • Behavioral health departments coordinating patient care

How to fill out the Transition of Care

  1. 1.
    To begin, visit pdfFiller and log in to your account. If you don't have an account, create one to access your documents.
  2. 2.
    Search for 'Transition of Care Form' in the template library and select the document from the results to open it.
  3. 3.
    Review the form to understand what information is needed, including member details, PCP information, and discharge demographics.
  4. 4.
    Gather necessary information such as your personal health details, names and contact information for relevant providers, and any relevant medical history before beginning to fill out the form.
  5. 5.
    Start filling in the fields by clicking on each section in the PDF. Use the fillable fields to enter data like member information and service provider details, ensuring accuracy.
  6. 6.
    Utilize checkboxes for specific requirements, and follow the instructions provided to complete all sections thoroughly.
  7. 7.
    Once all fields are filled, take a moment to review your entries for completeness and accuracy.
  8. 8.
    When satisfied with your input, navigate to the save or download options on pdfFiller to keep a copy of the completed form for your records.
  9. 9.
    Lastly, follow the submission instructions to fax the completed form. Send it to Meridian Health Plan’s Behavioral Health department and the member’s PCP promptly upon discharge.
Regular content decoration

FAQs

If you can't find what you're looking for, please contact us anytime!
The Transition of Care Form is intended for patients in New Hampshire transitioning from one care setting to another, particularly those receiving behavioral health services. Healthcare providers coordinating this transition will also need this form.
If you have difficulties while completing the Transition of Care Form on pdfFiller, check the platform's help resources or contact their support team for assistance with any technical issues.
The completed Transition of Care Form must be faxed to Meridian Health Plan’s Behavioral Health department and the member’s Primary Care Provider at the time of patient discharge.
Generally, no additional documents are needed with the Transition of Care Form itself. However, ensuring that all details within the form are accurate and complete is essential for processing.
Double-check all filled fields before submission, especially member and provider contact information. Gathering necessary documents and notes in advance can also help maintain accuracy.
Processing time can vary, but once submitted, typically allow several business days for your primary care provider and Meridian Health Plan to review the Transition of Care Form and respond as needed.
Yes, pdfFiller provides options to save the Transition of Care Form in various formats, allowing you to download and store it digitally after you've completed the required fields.
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.