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PHONE: 1.800.344.1550 FAX: 1.844.317.9377 EMAIL: orders chcsolutions.com GROUP 1 SUPPORT SURFACES ORDER FORM **Please attach face sheet w/ patient demographics & insurance info**PATIENT INFORMATION
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How to fill out group 1 support surfaces
How to fill out group 1 support surfaces
01
To fill out group 1 support surfaces, follow these steps:
02
Start by gathering all the necessary information regarding the patient and the support surface.
03
Identify the specific group 1 support surface that needs to be filled out.
04
Begin by entering the patient's personal details such as name, date of birth, and contact information.
05
Provide information about the healthcare facility or organization responsible for the support surface.
06
Specify the type and model of the support surface being used.
07
Include details regarding the prescription or physician's order for the support surface.
08
Fill out any additional information required by the support surface manufacturer or supplier.
09
Ensure that all necessary signatures and dates are included.
10
Double-check the completed form for any errors or missing information before submitting.
11
Once completed, submit the filled-out support surface form to the appropriate recipient or department.
Who needs group 1 support surfaces?
01
Group 1 support surfaces are typically needed by individuals who require the prevention or treatment of pressure ulcers (also known as bedsores) or other conditions related to immobility.
02
These surfaces are commonly used in healthcare settings, including hospitals, nursing homes, and home healthcare, to provide optimal comfort and support for patients who spend extended periods of time in bed or seated in wheelchairs.
03
Patients who are at risk of developing pressure ulcers due to limited mobility, impaired circulation, or other medical conditions can benefit from the use of group 1 support surfaces.
04
It is important to consult a healthcare professional or physician to determine if a patient qualifies for the use of group 1 support surfaces and to ensure proper selection and usage.
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What is group 1 support surfaces?
Group 1 support surfaces refer to a category of medical equipment or devices utilized primarily for patients at risk of developing pressure injuries or ulcers due to limited mobility.
Who is required to file group 1 support surfaces?
Healthcare providers who provide, bill for, or prescribe group 1 support surfaces are required to file documentation regarding these items.
How to fill out group 1 support surfaces?
To fill out group 1 support surfaces, providers must complete the required forms accurately, including patient information, diagnosis, and details of the support surface being provided.
What is the purpose of group 1 support surfaces?
The purpose of group 1 support surfaces is to reduce the pressure on the skin for individuals at risk of pressure injuries, thereby promoting skin integrity and preventing complications.
What information must be reported on group 1 support surfaces?
Information reported on group 1 support surfaces must include patient identification, clinical justification, and specific characteristics of the device used.
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