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TRANSITION OF CARE REQUEST FORM REQUEST DATE: ___ MEMBER INFORMATION Patients Name:Date of Birth:Insurance ID #:Telephone:Address:Employee Name:Insurance ID #:Relation to Patient:Telephone:Address:
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Transition of care services refers to the coordinated process of transferring a patient's care from one healthcare provider or setting to another, ensuring continuity and safety during the switch.
Healthcare providers, including hospitals, outpatient facilities, and primary care physicians, are typically required to file transition of care services whenever a patient is moved between care settings.
To fill out transition of care services, providers must complete designated forms that capture essential patient information, care plans, and follow-up instructions accurately.
The purpose of transition of care services is to minimize the risk of readmission, enhance patient safety, and promote effective management of healthcare as patients move through different stages of treatment.
Transition of care services must report patient demographics, medical history, current medications, nursing and follow-up care instructions, and contact information for all involved providers.
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