Get the free Continuation of Care Form

This form is used for members of Anthem Blue Cross and Blue Shield who are in need of continuity of care with a provider that is no longer contracted with the Anthem network, ensuring that they can

How to fill out continuation of care form

How to fill out Continuation of Care Form

1. Obtain the Continuation of Care Form from the healthcare provider or institution.
2. Fill in patient information, including name, date of birth, and contact details.
3. Provide a summary of the patient's medical history and current health status.
4. Include details about ongoing treatments, medications, and any relevant allergies.
5. Specify the healthcare providers involved in the patient's care.
6. Indicate where and how the patient will continue receiving care.
7. Review the form for completeness and accuracy.
8. Submit the form to the appropriate healthcare provider or facility.

Who needs Continuation of Care Form?

1. Patients transitioning from one healthcare provider to another.
2. Individuals discharged from a hospital requiring further outpatient care.
3. Anyone involved in long-term care management.
4. Caregivers or family members handling a patient's health care needs.

People Also Ask about

What does continuity mean in care?

What is Continuity of care? Continuity of care means seeing the same doctor or healthcare professional consistently, so they get to know you, your health history, and your preferences. It helps to build trust and improve the quality of your care.

What is a cont of care?

Continuity of care is concerned with quality of care over time. It is the process by which the patient and his/her physician-led care team are cooperatively involved in ongoing health care management toward the shared goal of high quality, cost-effective medical care.

What are examples of continuity of care?

› Patients who are considered to be a “continuing care patient”, are defined as follows: – Undergoing a course of treatment or surgery for a serious and complex condition[2]from the provider or facility; – Undergoing a course of institutional or inpatient care from the provider or facility; – Scheduled to undergo a non

What is the purpose of a continuity of care document?

Continuity of Care Documents (CCDs) are standardized electronic documents designed to summarize a patient's health information to facilitate seamless communication and coordination among healthcare providers during transitions of care.

How to provide continuity of care?

Ensuring effective care transitions Simple practices like using clear notes, consistent documentation and regular check-ins between care professionals all help to ensure that crucial details are not lost in the shuffle, so the care journey maintains continuity, even when there's a change in care provider.

What are some examples of continuity?

The polynomial functions, exponential functions, graphs of sin x and cos x are examples of a continuous function over the set of all real numbers.

What is an example of continuity of care?

An example of continuity of care is a patient consistently seeing the same primary care physician who monitors their health over several years.

For pdfFiller’s FAQs

What is Continuation of Care Form?

The Continuation of Care Form is a document used to ensure that a patient's ongoing care needs are communicated effectively during transitions between different healthcare providers or settings.

Who is required to file Continuation of Care Form?

Healthcare providers who are transferring a patient's care, including hospitals, specialists, and primary care physicians, are required to file the Continuation of Care Form.

How to fill out Continuation of Care Form?

To fill out the Continuation of Care Form, providers should include patient demographics, medical history, current treatment plans, medications, and any other relevant health information to ensure continuity in patient care.

What is the purpose of Continuation of Care Form?

The purpose of the Continuation of Care Form is to facilitate seamless communication between healthcare providers, ensuring that all necessary information is shared to maintain high-quality patient care.

What information must be reported on Continuation of Care Form?

The information that must be reported on the Continuation of Care Form includes patient identification details, current diagnoses, treatment plans, medications, allergies, and any other pertinent medical history.