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How to fill out the Continuity Of Care - Carpenterssw.org online
Filling out the Continuity of Care form can be a crucial step in ensuring a smooth transition of your healthcare services. This guide provides you with a clear, step-by-step approach to completing the form accurately and efficiently.
Follow the steps to complete the form effectively.
- Click ‘Get Form’ button to access the form and open it for editing.
- Begin by providing your personal details in the 'Subscriber and Plan Information' section. Include your name, identification number, address, type of current UnitedHealthcare plan, and any prior insurance details.
- In the 'Patient, Physician and Treatment Information' section, fill in the patient's name, relationship to the subscriber, date of birth, and contact information. Ensure you specify the treating physician's details, including their specialty and address.
- Detail the medical condition being treated in the 'Nature of Illness/Comments' field. Describe the diagnosis, expected treatment duration, any scheduled surgeries, and how long the physician has been treating the patient.
- Review the authorization section and provide consent for disclosure of medical information as required. Ensure your signature is completed, and note any limitations regarding the information release.
- Once the form is fully completed, save all the changes made within the form. You can then choose to download a copy, print it out, or share it as needed.
Begin your documentation process online to ensure continuity of your care today.
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