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NH Department of Health & Human Services (HHS) Disability Determination Unit (CDU) CDU Form 900 08/12 rev. 12/14 Authorization for Release of Protected Health Information Full Legal Name: DOB: MM/DD/YYY
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Step 1: Obtain the NH Care Path form from your healthcare provider.
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Step 2: Read all the instructions and guidelines provided on the form.
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Step 3: Fill in your personal information, such as your name, date of birth, and contact details.
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Step 4: Provide detailed information about your medical history, including any existing conditions and medications you are currently taking.
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Step 5: Answer all the questions on the form accurately and to the best of your knowledge.
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Step 6: If you have any specific concerns or preferences regarding your care, make sure to mention them in the appropriate section.
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Step 7: Double-check all the information you have entered to ensure accuracy.
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Step 8: Submit the completed NH Care Path form to your healthcare provider or follow any additional instructions provided.
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Step 9: If required, schedule an appointment to discuss the care path and any further steps with your healthcare provider.
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Step 10: Keep a copy of the filled-out form for your records.

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Family members or caregivers of those in need of long-term care can also benefit from NH Care Path to ensure appropriate and consistent care for their loved ones.
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Healthcare providers, hospitals, and nursing homes can use NH Care Path to create personalized care plans for their patients/residents.
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NH Care Path is a process designed to determine appropriate healthcare services and resources for individuals in the state of New Hampshire.
Healthcare providers and facilities in New Hampshire are required to file NH Care Path for their patients.
NH Care Path can be filled out online through the designated portal provided by the state of New Hampshire.
The purpose of NH Care Path is to ensure that individuals receive the appropriate healthcare services and resources they need.
NH Care Path must include information about the patient's medical history, current health status, and recommended treatment plan.
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