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.+.WRESETRequest for Continuity of Care for Medical Benefits Please include additional sheets as necessary for responses to the following. Completed forms may be mailed to: Horizon Continuity of Practitioner
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How to fill out continuity of care for
How to fill out continuity of care for
01
Obtain the necessary forms for continuity of care from your healthcare provider.
02
Fill in your personal information, including your name, date of birth, and contact information.
03
Provide information about your healthcare provider, including their name, contact information, and reason for the continuity of care.
04
Include relevant medical history, current medications, and any ongoing treatments or conditions.
05
Sign and date the form to certify the accuracy of the information provided.
Who needs continuity of care for?
01
Continuity of care is necessary for patients who are transitioning between healthcare providers, moving to a new location, or seeking continued treatment for a chronic condition.
02
It ensures that important medical information is shared between providers and that the patient receives consistent and coordinated care.
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What is continuity of care for?
Continuity of care is for ensuring that patients receive consistent and uninterrupted medical treatment.
Who is required to file continuity of care for?
Healthcare providers and facilities are required to file continuity of care forms for their patients.
How to fill out continuity of care for?
Continuity of care forms can be filled out by documenting the patient's medical history, current treatment plan, and any upcoming appointments or referrals.
What is the purpose of continuity of care for?
The purpose of continuity of care is to facilitate smooth transitions in a patient's medical care and to ensure that there are no gaps in treatment.
What information must be reported on continuity of care for?
Information such as patient demographics, medical history, current medications, allergies, and treatment plans must be reported on continuity of care forms.
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