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UPMC Visiting Nurses PLEASE COMPLETE ALL SECTIONS AND RETURN TO CENTRAL INTAKE Fax 724-778-4747 North Branch Horizon Branch Ohio Subunit Home Health Physician Documentation of Face-to-Face Encounter Patient Name DOB I certify that this patient is under my care and that I or a nurse practitioner or physician s assistant working with me had a face-to-face encounter that meets the physician face-to-face encounter requirements with this patient on Date patient was seen Month Day Year The...
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Step 1: Start by obtaining the necessary paperwork. You can either visit the UPMC Visiting Nurses website or contact their office to request the forms.
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Step 2: Fill out the personal information section which will include your name, address, phone number, date of birth, and social security number.
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Step 3: Provide information about your insurance coverage. This may include details about your primary insurance provider and any supplemental coverage you have.
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Step 4: Specify the reason for your need of UPMC Visiting Nurses. This can include medical conditions, post-surgery care, or assistance with medication management.
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Step 5: Fill out the scheduling preferences section. You can indicate the days and times that would be most convenient for the nurses to visit you.
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Step 6: Review the completed form for accuracy and make any necessary corrections.
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Step 7: Sign and date the form before submitting it to UPMC Visiting Nurses.
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Step 8: Send the completed form via mail or submit it electronically through their website.
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Step 9: Wait for a confirmation from UPMC Visiting Nurses regarding your request. They will contact you to discuss the next steps and provide additional information, if needed.

Who needs upmc visiting nurses?

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Individuals who require healthcare services at home due to medical conditions or post-surgery recovery may benefit from UPMC Visiting Nurses.
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Elderly individuals who need assistance with daily living activities and medication management can also benefit from their services.
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Patients with chronic illnesses, disabilities, or limited mobility may find UPMC Visiting Nurses helpful in managing their healthcare needs.
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Patients who prefer personalized care in the comfort of their own homes may choose to utilize UPMC Visiting Nurses.
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Family members or caregivers who need support in providing care and managing medical needs for their loved ones can benefit from UPMC Visiting Nurses as well.
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UPMC Visiting Nurses is a home health care agency providing skilled nursing, therapy, and medical services to patients in their homes.
Patients or their authorized representatives are required to provide necessary information and consent to receive services from UPMC Visiting Nurses.
To fill out UPMC Visiting Nurses forms, patients should provide accurate information about their medical history, current health status, and insurance details.
The purpose of UPMC Visiting Nurses is to provide quality home health care services to patients who require medical assistance in the comfort of their own homes.
Information reported on UPMC Visiting Nurses includes patient demographics, medical history, current health status, insurance information, and prescribed treatments.
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