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30DAY RESIDENTIAL BED HOLD EXTENSION REQUEST For all bed hold requests beyond the standard 30day residential bed hold period (see N.J.A.C 10:37A11.4(c)below), this form must be completed and submitted
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How to fill out 30-day residential bed hold
How to fill out 30-day residential bed hold
01
Obtain the necessary forms for requesting a 30-day residential bed hold from the appropriate authority or facility.
02
Fill out the forms completely and accurately, providing all required information such as the patient's name, date of birth, diagnosis, and reason for needing the bed hold.
03
Include any supporting documentation or medical records that are requested or will help make the case for the bed hold.
04
Submit the completed forms and any additional documents to the relevant party within the specified timeframe, as failure to do so may result in the request being denied.
Who needs 30-day residential bed hold?
01
Individuals who are receiving residential treatment for a medical or mental health condition and require a temporary leave of absence from the facility while maintaining their bed reservation.
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What is 30-day residential bed hold?
30-day residential bed hold is a policy that allows a resident of a facility to temporarily leave and hold their bed for up to 30 days without losing their placement or bed.
Who is required to file 30-day residential bed hold?
The facility staff or administrators are required to file the 30-day residential bed hold for residents who are temporarily leaving the facility.
How to fill out 30-day residential bed hold?
To fill out the 30-day residential bed hold, the facility staff must provide the necessary information about the resident, the reason for leaving, the expected return date, and any other relevant details.
What is the purpose of 30-day residential bed hold?
The purpose of 30-day residential bed hold is to ensure that residents can temporarily leave the facility without losing their bed or placement, allowing them to return within 30 days.
What information must be reported on 30-day residential bed hold?
The information reported on the 30-day residential bed hold includes details about the resident, reason for leaving, expected return date, and any special instructions or requirements.
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