Get Ri Department Of Health Coc Pdf

Filling out the Rhode Island Department of Health Continuity of Care (CoC) Form is essential for ensuring patient care continuity during transfers or discharges. This guide provides detailed instructions to complete the form accurately and easily for all users, including those with limited legal experience.

Follow the steps to fill out the CoC form effectively.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Enter the patient's full name on all pages of the document. Ensure clarity and legibility, especially if using an addressograph.
3. Fill in the address where the patient resided before the admission and the address to which they will be discharged, if different.
4. Provide the patient's phone number at the discharge address, as well as the name and contact details of the discharging facility and a designated contact person.
5. Complete the sections regarding the patient's insurance, policy number, admission date, and discharge date.
6. In the shaded areas meant for the physician, include the principal diagnosis, any other active medical problems, surgeries performed during this admission, and any infections treated.
7. Indicate whether the patient has any advanced directives and check applicable options related to resuscitation status.
8. List all medications prescribed for post-discharge use, including dosage and usage frequency.
9. Complete the activities of daily living assessment on Page 3 by marking the patient's performance level and physical status.
10. On Page 4, summarize the nursing discharge notes and include any necessary information regarding medical needs or preferences.
11. Ensure all sections are signed and dated by the appropriate medical professionals involved in the patient's care.
12. Finally, save your changes, download, print, or share the completed form as needed.

Complete your documents online for seamless patient care continuity.