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How to fill out continuation of care form

01
To fill out the continuation of care form, follow these steps:
02
Begin by entering your personal information, including your full name, date of birth, and contact information.
03
Provide the details of your previous healthcare provider, such as the name and address.
04
Specify the reason for the continuation of care, whether it's for ongoing treatment, transferring to a new provider, or any other relevant information.
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If applicable, provide information about your current healthcare provider and the services you are currently receiving.
06
Attach any supporting documents or medical records that are necessary for the continuation of care.
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Review the completed form to ensure all information is accurate and complete.
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Lastly, sign and date the form before submitting it to the appropriate party.

Who needs continuation of care form?

01
The continuation of care form is typically required by individuals who:
02
- Are transitioning from one healthcare provider to another
03
- Require ongoing treatment or care from a new provider
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- Need to transfer their medical records to a different facility
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- Have changing healthcare needs and want to ensure seamless care
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- Are undergoing a change in insurance coverage or healthcare plans

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The continuation of care form is a document used to ensure that patients receive uninterrupted healthcare services, especially when transitioning between providers or facilities.
Healthcare providers and organizations that are responsible for a patient's care during transitions, such as hospital discharges or referrals, are typically required to file the continuation of care form.
To fill out the continuation of care form, providers must record patient information, details of the previous and new care settings, treatment plans, and any necessary follow-up instructions for the receiving provider.
The purpose of the continuation of care form is to communicate essential patient information and treatment plans between healthcare providers, promoting seamless and effective care.
Information that must be reported includes patient demographics, medical history, medications, reasons for transfer, and recommended follow-up care.
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