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Name: Fillable Online Opers Disability Benefit Rehabilitative Services Selection Form Fax Email Print - pdfFiller
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This form is for Ohio Public Employees Retirement System (OPERS) disability benefit recipients to select their participation in the Rehabilitative Services Program, which aims to improve functionality and assist recipients in seeking employment. The document outlines the implications of participation versus non-participation, including the impact on disability benefit eligibility and leave of absence durations.

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How to fill out dr-rehabselect

01

Obtain the DR-RehabSelect form from the official website or your healthcare provider.

02

Fill in your personal information, including name, date of birth, and contact details.

03

Provide details about your medical condition and the rehabilitation services you require.

04

Check the insurance information section and fill it out if applicable.

05

Review the terms and conditions outlined in the form.

06

Sign and date the form at the end.

07

Submit the completed form either online or via mail to the designated address.

Who needs dr-rehabselect?

01

Patients recovering from surgery or injury who require rehabilitation services.

02

Individuals with chronic conditions that necessitate ongoing rehabilitative care.

03

Healthcare providers who need to refer patients for specialized rehabilitation services.

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What is dr-rehabselect?

DR-RehabSelect is a form used for reporting information related to rehabilitation services provided by certain healthcare providers.

Who is required to file dr-rehabselect?

Healthcare providers who offer rehabilitation services and meet specific criteria set by the regulatory authorities are required to file DR-RehabSelect.

How to fill out dr-rehabselect?

To fill out DR-RehabSelect, providers must gather relevant patient and service information, complete all required sections of the form accurately, and submit it by the regulatory deadline.

What is the purpose of dr-rehabselect?

The purpose of DR-RehabSelect is to collect data that helps monitor and evaluate the delivery of rehabilitation services for quality assurance and regulatory compliance.

What information must be reported on dr-rehabselect?

Information that must be reported on DR-RehabSelect includes patient demographics, types of services provided, duration of services, and outcomes achieved.

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