Get Fidelis Care Postpartum Encounter Form (attachment B) 2018-2025

Completing the Fidelis Care Postpartum Encounter Form is a crucial step in ensuring appropriate postpartum care for members. This guide provides clear, step-by-step instructions to help users fill out the form online with confidence.

Follow the steps to accurately complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the group name and provider name in the designated fields. Ensure accurate spelling and clarity.
3. Enter the tax identification number in the provided section. This information is mandatory and should be double-checked for accuracy.
4. Next, complete the member's details, including member name, member ID number, and member phone number. Ensure that these fields are filled out completely, as they are crucial for identification.
5. Provide the member's date of birth and delivery date. These dates are important for verifying the timeline of care.
6. Complete the EDC (estimated date of confinement) section to provide additional context regarding the member's delivery.
7. The provider's signature and date must be filled out at the end of the form. This section certifies that the information provided is accurate.
8. Indicate the postpartum visit date and weight of the member. Also, check the box if the member no-showed for the visit.
9. Check all applicable boxes for exams performed during the postpartum visit, including pelvic exam, abdominal exam, and breast exam.
10. Identify any postpartum issues that were noted during the visit in the provided section. This should be concise but thorough.
11. Finally, indicate the feeding method by checking either breast feeding or bottle feeding.
12. After all sections are completed and reviewed, save the changes, download, print, or share the form as necessary.

Complete the Fidelis Care Postpartum Encounter Form online today to ensure prompt and effective care for postpartum members.