Get Notification Of Pregnancy Form - Sunshine State Health Plan

This guide provides a comprehensive overview of how to effectively fill out the Notification Of Pregnancy Form for the Sunshine State Health Plan. Completing this form accurately and promptly ensures that you receive the necessary resources and services for a healthy pregnancy.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the Notification Of Pregnancy Form and open it in your preferred editor.
2. Begin filling out the personal information section. Enter your last name, first name, date of birth in the format mmddyyyy, mailing address, city, state, and zip code clearly.
3. Provide your home phone and cell phone numbers, along with your email address. Ensure that all required fields marked with an asterisk (*) are filled.
4. In the member information section, input your member ID. Indicate whether you have primary insurance for yourself or your baby that is not Medicaid by selecting 'Yes' or 'No'.
5. Complete the health screening dates, such as the date of your last Chlamydia screening, the date of your first prenatal visit, and the date of your last Pap smear.
6. Fill in your due date, race/ethnicity, and preferred language. You can also include your number of full-term deliveries, stillbirths, preterm deliveries, and any relevant health metrics like height and weight.
7. Proceed to the pregnancy risk assessment section. Answer questions regarding your pregnancy history, such as prior preterm deliveries, diabetes, and any current health concerns.
8. Complete any additional sections regarding current pregnancy risks, mental health, and substance use, as these are crucial for assessing your health needs.
9. If necessary, provide information about any significant risk factors and social needs that may affect your care.
10. Review all filled information for accuracy. Once confirmed, save your changes, and you can choose to download, print, or share the completed form.

Complete your Notification Of Pregnancy Form online now to ensure timely support and resources.