
Get the free Aftercare Intake - Mar 2015.pdf - Therapy Place, Inc.
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Serving Southwest Iowa Therapy PIT, Aftercare, Family Team Meetings www.therapyplaceinc.com Therapy Place, Inc. Phone: 7122549018 Fax: 7122549019 Email: therapy fmctc.com Mailing Address: P.O. Box
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How to fill out aftercare intake form - MAR
01
Begin by clearly stating your personal information, including your full name, contact information, and any other relevant details such as your date of birth or social security number.
02
Provide accurate details regarding your current medical condition or reason for seeking aftercare. This may include information about any recent surgeries, illnesses, or medications you are currently taking.
03
Indicate any known allergies or sensitivities to medications or treatments. It is important to disclose this information to ensure your safety during the aftercare process.
04
Answer the questions regarding your lifestyle and habits honestly. This may include questions about your exercise routine, dietary preferences, smoking or alcohol consumption, and any other relevant information that may impact your aftercare plan.
05
On the form, describe any specific goals or expectations you have for your aftercare treatment. Clearly communicating your desired outcomes will help the healthcare provider tailor their approach to meet your needs.
06
Provide a comprehensive medical history, including any past surgeries, illnesses, or chronic conditions. It is essential to disclose all relevant information to ensure a complete and accurate aftercare plan.
07
Sign and date the form once you have filled out all necessary sections. By signing, you acknowledge that the information provided is true and accurate to the best of your knowledge.
Who needs aftercare intake form - MAR?
01
Individuals who have recently undergone medical procedures, surgeries, or treatments that require aftercare.
02
Patients who have been discharged from hospitals or healthcare facilities and require ongoing support or monitoring.
03
People who have chronic conditions or illnesses that necessitate regular aftercare to manage symptoms or prevent complications.
04
Individuals seeking rehabilitation or therapy services after experiencing physical or mental health issues.
05
Those who are undergoing lifestyle changes or implementing new healthcare practices and require guidance and support.
06
Patients transitioning from one healthcare provider to another may need to fill out an aftercare intake form to ensure continuity of care and proper communication between providers.
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