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PHYSICIAN ORDER 4301 North star Way, Suite C Modesto, CA 95356 (877) 79902024049 N. Freeway Blvd. Sacramento, CA 95834 (877) 7990202Toll Free Fax: (888) 4990202Patient Name: Date of Birth: Address:
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01
Gather all necessary medical information and documents, such as patient's medical history, prescribed medications, and any relevant test results.
02
Ensure that you have a copy of the physician order - home form. This form may be provided by the healthcare agency or facility responsible for providing the home care services.
03
Read and understand the instructions on the physician order form. It may contain specific guidelines or requirements for filling out the form correctly.
04
Begin filling out the form by providing the patient's personal information, including their full name, date of birth, and contact information.
05
Specify the type of home care services that are being ordered by the physician. This may include services such as skilled nursing care, physical therapy, occupational therapy, or medical equipment.
06
Include the date when the physician order is being issued.
07
Provide the physician's name, contact information, and their signature. The physician must sign the order to validate it.
08
Double-check all the information filled out on the form for accuracy and completeness. Any errors or missing information may cause delays or complications in receiving the appropriate home care services.
09
Once the form is completed, submit it to the healthcare agency or facility responsible for providing the home care services.
10
Keep a copy of the filled-out physician order - home form for your records.

Who needs physician order - home?

01
Individuals who require home care services ordered by a physician.
02
Patients with chronic illnesses or conditions that require ongoing medical treatment outside of a hospital or healthcare facility.
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Patients recovering from surgeries or medical procedures who need additional care and assistance at home.
04
Elderly individuals or persons with disabilities who may have difficulty accessing traditional healthcare facilities.
05
Patients who prefer to receive medical care and treatment in the comfort and familiarity of their own homes.
06
Patients who may benefit from services such as skilled nursing care, physical therapy, occupational therapy, or medical equipment provided in a home setting.
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Physician order - home is a document issued by a physician that provides instructions for medical care to be administered in the patient's home.
The physician who issues the order is required to file the physician order - home.
The physician must complete the physician order - home document with the necessary medical instructions for home care.
The purpose of physician order - home is to ensure that patients receive proper medical care in their homes.
The physician order - home must include the patient's name, medical instructions, medication list, and any specific care requirements.
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