Get the free Adult/Child Admission and Continued Stay Request

Adult/Child Admission and Continued Stay Request PM Form 3. 14. 8 Check requested level Level II If a child check if SED Yes NO Level III HCTC For SED categories please refer to NARBHA Provider Manual Section 7. 5 PM attachment 7. 5. 3 Instructions Please fax required document to NARBHA MM 928 214-1166. Please let NARBHA care manager know if you need a copy of the placement criteria. Member Name Member ID AHCCCS ID Date of Admission DOB/Gender Responsible Agency Axis I Proposed Facility Name...

How to fill out adultchild admission and continued

How to fill out adultchild admission and continued

1. Step 1: Gather all the necessary documents such as identification proof, medical history, and any additional relevant documents.
2. Step 2: Contact the desired healthcare facility or institution to inquire about their specific requirements and procedures for adultchild admission and continued care.
3. Step 3: Fill out the admission form provided by the healthcare facility accurately, ensuring all personal information is correctly provided.
4. Step 4: Attach the required documents along with the admission form.
5. Step 5: Submit the completed admission form and the supporting documents to the designated department or office of the healthcare facility.
6. Step 6: Wait for the healthcare facility to review the submitted application and documents.
7. Step 7: If the application is accepted, the healthcare facility will provide further instructions for the continued care of the adultchild.
8. Step 8: Follow the instructions provided by the healthcare facility for continued care and follow-up appointments.

Who needs adultchild admission and continued?

1. Adultchild admission and continued care is typically required for individuals who are transitioning from pediatric care to adult care.
2. This could include teenagers or young adults who have reached the age where they are no longer eligible for pediatric care.
3. Adultchild admission may also be necessary for individuals with specific medical conditions or disabilities that require specialized care during their transition to adulthood.
4. It is best to consult with healthcare professionals or institutions to determine if adultchild admission and continued care is suitable for a particular individual.

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