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ATTACHMENT B5 Date : UNI CITY NETWORK SDN BHD 26A, JAPAN PDU FLU, BATU 3, JAPAN CERAS, 56100 CERAS, KUALA LUMPUR TEL: 0392003083 FAX: 0392008982 Dear Sir / MDM, RE : Hospitalization AND SURGICAL SCENE
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How to fill out rehospitalization and surgical forms:

01
Start by carefully reading the instructions provided with the form. Make sure you understand the purpose of the form and the information required.
02
Begin by providing your personal information accurately. This includes your full name, date of birth, contact information, and any unique identifiers or insurance details if applicable.
03
Identify the healthcare facility or hospital where the rehospitalization or surgery is taking place. Include the name, address, and contact information of the facility.
04
Specify the reason for rehospitalization or surgical procedure. Provide a clear and concise description of the medical condition or issue that necessitates the need for hospitalization or surgery.
05
If applicable, mention any previous hospitalizations or surgeries related to the current condition. Provide dates, facility names, and details of the procedures performed.
06
Fill out the medical history section thoroughly. Include details of any pre-existing medical conditions, allergies, medications currently taken, and any other relevant health information that might influence the upcoming procedure or hospital stay.
07
In the surgical section, provide the specific details of the procedure being performed. Include the name of the surgeon, type of surgery, anticipated date, and any associated risks or complications that have been discussed with your healthcare provider.
08
If necessary, provide details about insurance coverage or payment arrangements. This may include submitting insurance policy information, authorizations, or outlining any financial agreements for the hospitalization or surgical procedure.

Who needs rehospitalization and surgical?

01
Patients who have undergone a previous medical procedure and require additional hospitalization due to complications or further treatment.
02
Individuals with chronic or acute medical conditions that necessitate surgical intervention for improvement or management.
03
Patients who have experienced complications or setbacks during the initial recovery period after a surgery and need to be readmitted to the hospital for further care or monitoring.
Remember, it is important to consult with your healthcare provider or medical team for specific guidance on filling out rehospitalization and surgical forms, as requirements may vary depending on the facility and the nature of the procedure.
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Re hospitalisation and surgical refers to the process of a patient being readmitted to the hospital for further medical treatment or surgery.
Patients who have undergone medical treatment or surgery and need to be readmitted to the hospital are required to file for re hospitalisation and surgical.
To fill out re hospitalisation and surgical, patients need to contact their healthcare provider or hospital to inquire about the necessary forms and documentation requirements.
The purpose of re hospitalisation and surgical is to ensure that patients receive timely and appropriate medical care following previous treatment or surgery.
Patients must report details about their previous medical treatment or surgery, current health status, and reasons for readmission.
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