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PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES Suggested Format for BED REQUEST APPLICATION TITLE 55. HUMAN SERVICES PART III. MEDICAL ASSISTANCE MANUAL CHAPTER 1187. NURSING FACILITY SERVICES SUBCHAPTER

How to fill out new bed request

How to Fill Out a New Bed Request:

1. Start by obtaining the necessary form: Contact the appropriate department or individual responsible for managing bed requests and request the new bed request form.
2. Gather required information: Before filling out the form, ensure you have all the necessary information at hand. This may include the patient's name, identification number, date of birth, healthcare provider details, and specific reasons for needing a new bed.
3. Carefully read the instructions: Thoroughly go through the instructions provided with the form. It will guide you on how to properly complete each section and provide any additional documents or details required.
4. Begin with personal information: Start filling out the form by providing the patient's personal information accurately. Double-check the accuracy of the information before moving on to the next section.
5. Describe the reason for the new bed request: Clearly explain the reasons why a new bed is required. This may include medical conditions, mobility issues, or the need for specialized equipment.
6. Include supporting documentation: Attach any relevant documentation that supports the need for a new bed. This can include medical reports, physician's recommendations, or any other necessary evidence.
7. Review and proofread: Before submitting the form, carefully review all the provided information. Ensure that everything is accurate, legible, and understandable. Correct any mistakes or missing information.
8. Submit the form: Once you are confident that the form is complete and accurate, submit it according to the instructions provided. This may involve mailing it, handing it to the appropriate department, or submitting it electronically, depending on the process in place.

Who Needs a New Bed Request:

1. Patients requiring specialized care: Individuals who require specialized care, such as those with chronic illnesses, physical disabilities, or mobility issues, may need to request a new bed to ensure their comfort and safety.
2. Healthcare providers: Healthcare professionals, including doctors, nurses, or caregivers, may initiate a new bed request on behalf of their patients. They can assess the patient's needs and submit the necessary paperwork to facilitate the request.
3. Care facilities or hospitals: Facilities such as nursing homes, hospitals, or rehabilitation centers may need to initiate a new bed request due to an increase in patients, equipment upgrades, or a change in patient needs.
4. Individuals with changing health conditions: Patients who experience a change in their health condition, such as surgery, injury, or worsening of symptoms, may require a new bed to support their care and recovery.
5. Family members or guardians: In some cases, family members or legal guardians may need to fill out a new bed request on behalf of a healthcare dependent loved one who is unable to do so themselves.

Remember, the process and requirements for filling out a new bed request may vary depending on the specific institution or healthcare system. It is always advisable to refer to provided guidelines or consult with the relevant authorities for accurate and up-to-date instructions.

For pdfFiller’s FAQs

What is new bed request?

A new bed request is a formal application to request an additional bed or beds in a facility.

Who is required to file new bed request?

The facility administrator or authorized representative is required to file a new bed request.

How to fill out new bed request?

The new bed request can be filled out by completing the designated form and submitting it to the appropriate regulatory agency.

What is the purpose of new bed request?

The purpose of a new bed request is to request an increase in the number of beds available in a facility to accommodate more residents.

What information must be reported on new bed request?

The new bed request must include information such as the facility name, address, current bed count, proposed new bed count, and justification for the increase.

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