Get the free Continuation of Care Request - sanfordhealthplan.com

Continuation of Care Request Application Instructions Follow the steps below to find out if you should complete this form. STEP1Make sure that your health care provider is in Sanford Health Plans

How to fill out continuation of care request

How to fill out continuation of care request

1. To fill out a continuation of care request, follow these steps:
2. Obtain the continuation of care request form from your healthcare provider. This form can usually be found on their website or requested from their office.
3. Fill in your personal details, including your name, address, phone number, and date of birth.
4. Provide information about your current healthcare provider, including their name, address, and contact information.
5. Indicate the reason for the continuation of care request. This could be due to an ongoing medical condition, the need for continued treatment, or the desire to keep the same healthcare provider.
6. Attach any supporting documentation, such as medical records or previous treatment plans, that can help justify the need for continuation of care.
7. Sign and date the form.
8. Submit the completed form to your healthcare provider either in person, by mail, or through their online submission portal.
9. Follow up with your healthcare provider to ensure that your continuation of care request has been received and processed.

Who needs continuation of care request?

1. Continuation of care request is typically needed by individuals who:
2. - Have an ongoing medical condition that requires consistent monitoring and treatment.
3. - Are transitioning from one healthcare provider to another and want to continue receiving care from the same provider.
4. - Need to receive specialized or specific treatment that is only available through a specific healthcare provider.
5. - Want to maintain a long-term relationship with their current healthcare provider.
6. - Have a unique medical history or complex medical needs that require continuity of care.

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What is continuation of care request?

Continuation of care request is a formal process to request ongoing medical treatment or services from a healthcare provider.

Who is required to file continuation of care request?

Patients who need to continue receiving medical treatment or services from a healthcare provider are required to file a continuation of care request.

How to fill out continuation of care request?

To fill out a continuation of care request, patients need to provide their personal information, medical history, current treatment plan, and reasons for requesting continued care.

What is the purpose of continuation of care request?

The purpose of continuation of care request is to ensure that patients can receive the necessary medical treatment or services without interruption.

What information must be reported on continuation of care request?

On a continuation of care request, patients must report their personal information, medical history, current treatment plan, and reasons for requesting continued care.