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Welcome TO YOUR HEALTH Outpatient HandbookYour PatientCentered Health Home
Appointment Scheduling877.WELL.ALL
877.935.5255www.commwellhealth.org
1www.commwellhealth.portable OF CONTENTS
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How to fill out to your health home
01
Start by gathering all necessary information, including your personal details, medical history, and any existing health insurance information.
02
Contact your preferred health home provider and inquire about their enrollment process. They will provide you with the necessary forms and documents to fill out.
03
Carefully read and understand each form before filling them out. Pay attention to any instructions or requirements provided by the health home provider.
04
Begin filling out the forms accurately and honestly. Provide all requested information, including your full name, date of birth, contact details, and social security number.
05
Fill out the medical history section, disclosing any pre-existing conditions, chronic illnesses, or past surgeries. This information will help the health home provider in assessing your healthcare needs.
06
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Sign and date the forms once you have completed filling them out. Ensure your signature matches the one on your identification documents.
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Submit the filled-out forms to the health home provider through the designated method (mail, fax, online portal, etc.). Follow any additional instructions provided by the provider.
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After submitting the forms, wait for confirmation from the health home provider. They will inform you of your enrollment status and provide further instructions if necessary.
Who needs to your health home?
01
Individuals with complex medical needs
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People with chronic illnesses
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Individuals with mental health conditions
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Patients requiring frequent medical appointments or hospitalizations
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Individuals who struggle with managing their healthcare independently
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Patients with multiple healthcare providers and specialists
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What is to your health home?
To Your Health Home is a program designed to provide individuals with personalized health information and support.
Who is required to file to your health home?
Individuals who are enrolled in the To Your Health Home program are required to file.
How to fill out to your health home?
To fill out the To Your Health Home program, individuals need to provide their health information and complete the necessary forms.
What is the purpose of to your health home?
The purpose of the To Your Health Home program is to help individuals manage their health better and access relevant health resources.
What information must be reported on to your health home?
Information such as medical history, current medications, and any existing health conditions must be reported on the To Your Health Home program.
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