Get Caci Hypertension Worksheet

The Caci Hypertension Worksheet is an important document used to determine certification eligibility for individuals with hypertension. This guide will walk you through the process of filling out the worksheet online, ensuring you provide the necessary information clearly and accurately.

Follow the steps to complete the Caci Hypertension Worksheet online.

1. Press the ‘Get Form’ button to access the worksheet and open it in your chosen online editor.
2. Review the acceptable certification criteria listed on the form. Ensure that you have the current status report from the treating physician on hand, if necessary.
3. Indicate whether the treating physician or the AME finds the condition stable on the current regimen for at least 7 days by selecting 'Yes' or 'No'.
4. Note any symptoms experienced by marking 'None' or any applicable symptoms in the provided space.
5. Enter your blood pressure readings for the office visit, ensuring they are less than or equal to 155 systolic and 95 diastolic.
6. Select the acceptable medication(s) being utilized by checking up to three from the list provided on the form.
7. Confirm there are no side effects from medications by marking the appropriate box.
8. In Block 60, the AME must note one of the options provided regarding the hypertension qualification status by selecting the appropriate checkbox.
9. Once you have completed all necessary sections, save changes to the document, and choose to download, print, or share the worksheet as needed.

Complete your Caci Hypertension Worksheet online today.