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Secondary PACE Referral Packet 20152016 PACE provides services for academically gifted and/or talented students in grades K12 who have demonstrated a need for advanced, differentiated instruction.

How to fill out secondary pace referral

How to fill out secondary pace referral

1. Step 1: Obtain the secondary pace referral form from your healthcare provider or secondary pace organization.
2. Step 2: Fill out your personal details, such as your name, date of birth, address, and contact information.
3. Step 3: Provide information about your primary healthcare provider, including their name, contact information, and any relevant medical history.
4. Step 4: Describe the reasons for seeking a secondary pace referral and the specific services or treatments you require.
5. Step 5: Attach any supporting documents or medical records that may be necessary for the referral process.
6. Step 6: Review the completed form to ensure all information is accurate and legible.
7. Step 7: Submit the filled-out secondary pace referral form to the appropriate healthcare authority or secondary pace organization.
8. Step 8: Follow up with the healthcare authority or organization to ensure that your referral has been processed and approved.
9. Step 9: Once approved, schedule an appointment with the secondary pace provider and follow their instructions for further care.

Who needs secondary pace referral?

1. Individuals who are enrolled in primary pace (Program of All-Inclusive Care for the Elderly) and require specialized healthcare services or treatments not covered by primary pace.
2. Those who have medical conditions or situations that need evaluation, consultation, or treatment from a secondary pace provider.
3. Anyone who has received a recommendation or referral for specialized care from their primary pace provider.

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What is secondary pace referral?

Secondary pace referral is a process in which a second referral is made for a PACE participant when their needs change or when there is a need for additional services.

Who is required to file secondary pace referral?

The interdisciplinary team at the PACE center is responsible for filing a secondary pace referral.

How to fill out secondary pace referral?

Secondary pace referral can be filled out by documenting the change in participant's needs and obtaining necessary signatures from the interdisciplinary team.

What is the purpose of secondary pace referral?

The purpose of secondary pace referral is to ensure that PACE participants receive appropriate and timely services based on their changing needs.

What information must be reported on secondary pace referral?

The secondary pace referral must include updated medical information, social needs, and any changes in the participant's condition.