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SKILLED CARE REFERRAL FOR LONGER SERVICES
AND SUPPORTS (LESS)Clear FieldsNORTH DAKOTA DEPARTMENT OF HUMAN SERVICES
MEDICAL SERVICES DIVISION
SON 584 (92021)SKILLED FACILITY/REFERRAL\'S INFORMATION
Facility
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How to fill out long term care referral
How to fill out long term care referral
01
Contact the doctor or healthcare provider to discuss the need for long term care.
02
Complete the necessary paperwork for the referral, including personal information and medical history.
03
Provide any supporting documentation, such as medical records or test results.
04
Submit the referral to the appropriate long term care facility or agency.
05
Follow up with the healthcare provider to ensure the referral is processed in a timely manner.
Who needs long term care referral?
01
Individuals who require ongoing medical care or assistance with daily activities due to chronic illness, disability, or advanced age.
02
Patients who have been discharged from a hospital and need additional support for recovery or rehabilitation.
03
Family members or caregivers who are unable to provide the level of care needed for a loved one.
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What is long term care referral?
Long term care referral is the process of referring individuals who are in need of ongoing assistance or medical care to long term care facilities or services.
Who is required to file long term care referral?
Healthcare providers, social workers, or family members may be required to file a long term care referral for individuals in need.
How to fill out long term care referral?
Long term care referrals can typically be filled out by providing the individual's personal and medical information, as well as details on the level of care needed.
What is the purpose of long term care referral?
The purpose of a long term care referral is to ensure that individuals receive the appropriate care and support they need for their ongoing medical or personal needs.
What information must be reported on long term care referral?
Information such as the individual's medical history, current health status, care needs, and any preferences or special requirements should be reported on a long term care referral.
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