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Get the free POLST Hmong 2016 Cover Sheet - ccah-alliance.org

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POST Submission Fax Cover Sheet To: Fax: Central California Alliance for Health 18777938504 From: Practice/Provider Name (REQUIRED) Practice NPI#: (REQUIRED) Member Alliance ID#: (REQUIRED) Instructions
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How to fill out the POLST Hmong 2016 cover?

01
Start by gathering all the necessary information and documents. This may include the patient's name, contact information, and medical history.
02
Familiarize yourself with the POLST Hmong 2016 form and its sections. The form typically includes sections for decision-maker information, medical interventions, and end-of-life preferences.
03
Begin by completing the decision-maker information section. This section requires the patient to appoint a trusted individual who will make medical decisions on their behalf if they are unable to do so.
04
Move on to the medical interventions section. This section allows the patient to indicate their preferences regarding specific medical interventions such as cardiopulmonary resuscitation (CPR), intubation, and artificial hydration.
05
Take into consideration the patient's overall health condition and prognosis when making these decisions. It is important to have open and honest conversations with the patient and their healthcare provider to ensure the preferences align with their goals of care.
06
Finally, review the form for accuracy and completeness. Make sure all the necessary fields are filled out and double-check any additional requirements specific to your state or healthcare facility.

Who needs POLST Hmong 2016 cover?

01
Individuals who are nearing the end of life and wish to communicate their medical treatment preferences in a clear and legally-binding way.
02
Patients with serious illnesses or medical conditions who want to ensure their healthcare wishes are respected even when they are unable to communicate them.
03
Caregivers and healthcare professionals involved in the care of individuals who may benefit from having a POLST form in place to guide medical decisions.
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Polst Hmong cover sheet is a document used to provide information about the patient's medical preferences and treatment choices in the Hmong community.
Patients or their legal representatives are required to file the polst Hmong cover sheet.
To fill out the polst Hmong cover sheet, the patient or their legal representative must provide information about the patient's medical preferences, treatment choices, and contact information.
The purpose of the polst Hmong cover sheet is to ensure that the patient's medical preferences and treatment choices are respected and followed by healthcare providers.
The information that must be reported on the polst Hmong cover sheet includes the patient's medical preferences, treatment choices, and contact information.
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