Get the free Adult Care Coordination (Case Management) Referral Form Please fax this ...
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CASE MANAGEMENT REFERRAL FORM FROM: (Physicians Office Name) OFFICE CONTACT PERSON: FAX NUMBER: TELEPHONE NUMBER:To: El Paso Health ATTN: Case Management Phone: (915) 5323778 ext. 1500 Fax: 9152987866
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How to fill out adult care coordination case
How to fill out adult care coordination case
01
Collect all necessary information about the individual
02
Identify the needs and goals of the individual
03
Develop a care plan based on the needs and goals identified
04
Coordinate with healthcare providers and social services to implement the care plan
05
Regularly assess the individual's progress and adjust the care plan as needed
Who needs adult care coordination case?
01
Adults with complex medical conditions
02
Elderly individuals requiring assistance with daily living activities
03
Individuals with disabilities needing support to navigate healthcare and social services
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What is adult care coordination case?
Adult care coordination case is a process where an individual receives assistance in managing their healthcare needs and coordinating services provided by different healthcare professionals.
Who is required to file adult care coordination case?
Typically, a primary care physician or a healthcare provider initiates the adult care coordination case for a patient who requires assistance in managing their healthcare needs.
How to fill out adult care coordination case?
The adult care coordination case can be filled out by the healthcare provider or the individual receiving care, providing information about the individual's healthcare needs, current medications, medical history, and contact information.
What is the purpose of adult care coordination case?
The purpose of adult care coordination case is to ensure that the individual receives comprehensive and coordinated healthcare services, leading to better health outcomes.
What information must be reported on adult care coordination case?
Information such as current medications, medical history, healthcare needs, treatment plans, and contact information must be reported on the adult care coordination case.
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