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Just In Time Care Services, Inc. 1425 E Dublin Granville Road, Suite 201 Columbus, Ohio 43229 (614) 9853555 Phone (614) 3893155 Fax Personal Data Name: Last First Address: Middle City State Zip Telephone
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How to fill out just in time care:

01
Begin by gathering all relevant information and documentation required for the just in time care form.
02
Fill out the patient's personal information, including their full name, date of birth, address, contact details, and any relevant identification numbers.
03
Provide details about the patient's medical history, including any pre-existing conditions, allergies, and current medications.
04
Document the reason for the need of just in time care, explaining the circumstances and urgency for the requested care.
05
Include any supporting documents or medical reports that may be necessary to support the request for just in time care.
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If applicable, provide details about the preferred healthcare provider or facility for the patient.
07
Review the completed form for any errors or missing information before submitting it.

Who needs just in time care:

01
Individuals who require immediate medical attention or treatment due to an unexpected illness, injury, or medical condition.
02
Patients who are unable to receive timely care through regular healthcare channels or have limited access to healthcare facilities.
03
Those who have experienced a sudden deterioration in their health condition and need urgent medical intervention to prevent further complications.
04
Individuals in emergency situations, such as accidents or severe allergic reactions, where immediate medical care is essential for their well-being and recovery.
05
Patients who are unable to secure regular appointments with healthcare providers due to high demand or limited availability.
Please note that the specific eligibility criteria and requirements for just in time care may vary depending on the healthcare system and location. It is advisable to consult with healthcare professionals or relevant authorities for accurate and up-to-date information in your specific situation.

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