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(706) 7546575 (800) 2693514 Fax (706) 7548750 PATIENT NAME: DATE OF BIRTH: DEMOGRAPHICS Please attach the following items to facilitate a smooth transition to Home Care: Demographics (Face Sheet)
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To fill out transitional care services, follow these steps:
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Gather all the necessary information and documents, such as medical records, medication lists, and insurance information.
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Contact the transitional care provider or facility and schedule an appointment or consultation.
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During the appointment, provide the necessary information and discuss your specific needs and goals for transitional care.
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Follow any instructions or recommendations given by the transitional care provider or facility.
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Fill out any required forms or paperwork accurately and completely, providing all the requested information.
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Submit the completed forms and any supporting documents to the transitional care provider or facility.
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Follow up with the transitional care provider or facility to ensure that everything is in order and to address any questions or concerns.

Who needs transitional care services?

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Transitional care services are beneficial for individuals who:
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- Have been discharged from a hospital or other healthcare facility and require ongoing medical care and support during their transition back to their home or community.
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- Have recently undergone surgery, and need assistance with post-operative care and rehabilitation.
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- Have chronic medical conditions that require close monitoring, medication management, and coordination of care.
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- Are transitioning from a long-term care facility to their home, and need assistance in adjusting to independent living and managing their healthcare needs.
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- Are experiencing a change in their health status, such as a new diagnosis or worsening of existing conditions, and require specialized support and treatment.
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Transitional care services refer to the medical and non-medical services provided to individuals who are transitioning from one healthcare setting to another, such as from a hospital to home or a rehabilitation facility.
Healthcare providers and facilities involved in the patient's transition of care are required to file transitional care services.
Transitional care services can be filled out by documenting the services provided during the transition period and submitting the necessary paperwork to the relevant healthcare authority.
The purpose of transitional care services is to ensure a smooth and safe transition for patients from one healthcare setting to another, reducing the risk of complications and improving outcomes.
Information such as the patient's medical history, current condition, medications, treatment plan, and follow-up care instructions must be reported on transitional care services.
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