
Get the free Continuity of Care Instructions. CHPIV Continuity of Care Form FINAL 9.27.23.pdf
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Continuity of Care Instructions The Continuity of Care Department for Community Health Plan of Imperial Valley will help you receive managed care without a gap in coverage if you are able to receive
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How to fill out continuity of care instructions

How to fill out continuity of care instructions
01
Obtain the continuity of care form from the healthcare provider or facility.
02
Fill out your personal information including name, address, date of birth, and contact information.
03
Include the name and contact information of your current healthcare provider.
04
Provide a summary of your current medical conditions, medications, allergies, and past medical history.
05
Specify any ongoing treatments or procedures that you are currently undergoing.
06
Sign and date the form to indicate that the information provided is accurate.
07
Make copies of the completed form for your own records and provide a copy to your healthcare provider.
Who needs continuity of care instructions?
01
Patients who are transitioning to a new healthcare provider
02
Patients who have complex medical histories and multiple healthcare providers
03
Patients who require ongoing medical treatment or procedures
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What is continuity of care instructions?
Continuity of care instructions are guidelines that ensure patients receive consistent and coordinated healthcare across different providers or settings. They typically include information about the patient's health status, treatment plans, and specific needs to facilitate ongoing care.
Who is required to file continuity of care instructions?
Healthcare providers, including physicians, hospitals, and other entities involved in a patient's care, are typically required to file continuity of care instructions to ensure that care is seamless and comprehensive.
How to fill out continuity of care instructions?
To fill out continuity of care instructions, healthcare providers should gather relevant patient information, including medical history, current medications, treatment plans, and any special needs or considerations. This information should be documented clearly, in a standardized format, and shared with all relevant parties.
What is the purpose of continuity of care instructions?
The purpose of continuity of care instructions is to promote effective communication and collaboration among healthcare providers, ensuring that patients receive consistent and appropriate care throughout their treatment journey.
What information must be reported on continuity of care instructions?
Continuity of care instructions must report key information such as the patient's medical history, current medications, allergies, treatment plans, provider contact information, and any other relevant health information necessary for ongoing care.
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