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Bed Hold Request Child's County of Origin/Jurisdiction (Please check one): ___ Orange ___ Osceola ___ Seminole Date Submitting Request: ___ Name of Facility/CPA:___ Name of Child: ___ DOB: ___ Date(s)
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How to fill out bed hold request

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How to fill out bed hold request

01
Contact the hospital or nursing facility where the patient is currently staying
02
Request a bed hold form or ask for information on how to fill it out
03
Fill out the form completely and accurately, including patient information, reason for bed hold, and expected duration
04
Submit the form to the appropriate facility staff for processing

Who needs bed hold request?

01
Patients who are temporarily leaving a hospital or nursing facility but plan to return within a specific timeframe
02
Patients who want to ensure they have a bed reserved for them when they return
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A bed hold request is a request made by a patient or their representative to temporarily keep their hospital bed and reserve it for their return.
The patient or their representative is typically required to file a bed hold request.
To fill out a bed hold request, one must typically provide personal information, dates of hospital stay, reason for the hold, and expected return date.
The purpose of a bed hold request is to ensure that a patient's hospital bed is not given away to another patient while they are temporarily away.
Information such as patient's name, hospital ID, room number, reason for hold, expected return date, and contact information must typically be reported on a bed hold request.
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