Get Initial Physician Certification - Hospiceoflansing
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How to fill out the INITIAL PHYSICIAN CERTIFICATION - Hospiceoflansing online
Filling out the Initial Physician Certification form for Hospice of Lansing is a crucial step in ensuring that patients receive appropriate care during their final stages of life. This guide provides clear, step-by-step instructions to help you complete the form accurately and effectively.
Follow the steps to fill out the form accurately and efficiently.
- Press the 'Get Form' button to access the form and open it in the designated editing platform.
- In the first section labeled 'Patient Certification', provide the patient's full name and chart number. Enter the terminal diagnosis, ensuring that it reflects a life-limiting condition with a prognosis of six months or less.
- Include a brief narrative to support the terminal diagnosis as required by federal guidelines. This narrative should provide context and details about the patient's condition.
- Sign and date the form in the 'Attending/Certifying Physician Signature' section. Also, print your name clearly in the designated area.
- In the 'Designate a Physician' section, select the physician responsible for the patient's care by checking the appropriate checkbox. If assigning another physician, provide their name and contact number.
- In the 'Death Certificate will be signed by' section, choose who will sign the death certificate by checking one of the provided options.
- Once all sections are completed, review the form for any errors or omissions. Save the changes, download a copy for your records, and then print or share the form as necessary.
Complete your documents online today for efficient processing.
CTI for hospice is a framework that captures essential clinical data used in patient assessments and care planning. This information helps hospice providers align their services with the INITIAL PHYSICIAN CERTIFICATION - Hospiceoflansing protocols. Collecting and analyzing CTI enhances the quality of care delivered to patients. It ensures that care plans are tailored to meet each patient’s unique requirements throughout their hospice journey.
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