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Comprehensive Geriatric Assessment Request Thank you for referring your patient to Sanford Center Geriatric Specialty Clinic. In order to qualify, your patient needs to meet one or more of the following
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How to fill out comprehensive geriatric assessment request

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To fill out a comprehensive geriatric assessment request, follow these steps:

01
Start by obtaining the assessment form or request from the appropriate healthcare provider or medical facility. This form can typically be found online or obtained directly from the healthcare professional.
02
Begin by providing your personal information on the form, including your full name, contact details, and date of birth. This information is necessary to ensure accurate identification and processing of the request.
03
Next, fill in any required medical history information. This may include details about any pre-existing conditions, past surgeries, medications being taken, or allergies. It is important to include as much relevant information as possible, as this will assist healthcare professionals in assessing your geriatric care needs accurately.
04
Provide a brief summary of the reason for the comprehensive geriatric assessment request. Explain any specific concerns or symptoms that you or the referring healthcare professional have identified, along with any additional information that may be pertinent in assessing your overall health and wellbeing.
05
If applicable, provide any relevant documentation or reports from previous medical visits, specialists, or healthcare providers. This may include medical imaging results, laboratory reports, or any other relevant clinical documents. These additional documents can provide valuable insights to the assessing healthcare professional and aid in the comprehensive evaluation.
06
Once the form is completed, double-check all the information you have provided to ensure accuracy. Mistakes or incomplete information can hinder the assessment process and may require further correspondence or delay in scheduling the assessment itself.
07
Submit the completed comprehensive geriatric assessment request form to the designated healthcare provider or medical facility. Follow the specific instructions provided by the healthcare professional, such as whether to submit the form electronically or via mail.

Who needs a comprehensive geriatric assessment request?

01
Older adults who are experiencing changes in physical or cognitive functioning and require a thorough evaluation of their overall health status may benefit from a comprehensive geriatric assessment.
02
Individuals with chronic medical conditions or those at risk of developing age-related conditions can also benefit from a comprehensive geriatric assessment.
03
The assessment is particularly valuable for individuals who may be transitioning in care settings, such as moving from a hospital to a nursing home or from home to an assisted living facility. It helps healthcare professionals tailor care plans that meet specific needs.
Remember, consulting with a healthcare professional is essential to determine if you or a loved one would benefit from a comprehensive geriatric assessment. They will guide you through the process and provide appropriate recommendations based on your individual circumstances.
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Comprehensive geriatric assessment request is a formal request for a thorough evaluation of an elderly individual's medical, social, and psychological needs.
Healthcare providers, caregivers, or family members can file a comprehensive geriatric assessment request.
To fill out a comprehensive geriatric assessment request, one must provide detailed information about the elderly individual's health history, medications, daily living activities, and support system.
The purpose of comprehensive geriatric assessment request is to identify the needs and create a care plan that addresses the specific requirements of the elderly individual.
Information such as medical history, current medications, cognitive function, mobility, living situation, and support network must be reported on comprehensive geriatric assessment request.
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