Get the free Community Geriatric Navigator - Referral Form - cdha nshealth

Community Geriatric Navigator Referral Form Dartmouth General Hospital Telephone (902) 465-8446 Fax# (902) 465-3567 CLIENT NAME: DATE: (YYY/mm/dd) DOB: (YYY/mm/dd) Client s HC#: GENDER: M / F CURRENT

How to fill out community geriatric navigator

How to fill out a community geriatric navigator:

1. Start by gathering all necessary personal information such as name, age, contact details, and any relevant medical history.
2. Provide information about the individual's current living situation, including whether they reside in their own home, assisted living facility, or nursing home.
3. Indicate any known medical conditions or chronic illnesses that may require specialized care or attention.
4. Include details about the individual's current medications, dosages, and any known allergies.
5. Specify any specific healthcare providers or specialists involved in the individual's care.
6. Mention any recent hospitalizations or surgeries that may have an impact on the individual's health and well-being.
7. Describe the individual's support system, including family members, caregivers, or other individuals involved in their day-to-day care.
8. Provide information about any financial resources or insurance coverage that may be relevant to the individual's healthcare needs.
9. Indicate any personal preferences or wishes regarding end-of-life care or advanced directives.
10. Make sure to review the completed community geriatric navigator form for accuracy and completeness before submitting it to the appropriate healthcare professionals.

Who needs a community geriatric navigator?

1. Elderly individuals who may require additional assistance and coordination of their healthcare needs.
2. Individuals with complex medical conditions or multiple chronic illnesses.
3. Family members and caregivers who are responsible for the well-being of older adults and need support in navigating the healthcare system.
4. Healthcare professionals, including geriatric specialists, primary care physicians, and social workers, who work closely with elderly patients and require a comprehensive overview of their healthcare needs.
5. Health insurance providers and agencies involved in the coordination and funding of geriatric care services.
6. Local community organizations and resources dedicated to providing support and assistance to elderly individuals and their families.

For pdfFiller’s FAQs

What is community geriatric navigator?

Community geriatric navigator is a tool used to help coordinate care for elderly individuals.

Who is required to file community geriatric navigator?

Healthcare providers and caregivers are required to file community geriatric navigator.

How to fill out community geriatric navigator?

Community geriatric navigator can be filled out online or through a paper form provided by the healthcare provider.

What is the purpose of community geriatric navigator?

The purpose of community geriatric navigator is to ensure that elderly individuals receive comprehensive and coordinated care.

What information must be reported on community geriatric navigator?

Information such as medical history, current medications, and treatment plans must be reported on community geriatric navigator.

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