Get Continued Outpatient Treatment Notification Form Cotnf 3 Visit

Filling out the Continued Outpatient Treatment Notification Form (COTNF) is a crucial step in ensuring effective communication and treatment continuity for members. This guide provides a clear, step-by-step approach to help you accurately complete the form online.

Follow the steps to complete the form seamlessly.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin with the member information section. Enter the member's full name, member ID, and date of birth. Ensure that all details are accurate to avoid any processing delays.
3. In the psychological/neuropsychological testing section, indicate whether testing has been completed. If it was, fill in the date of the initial visit and the number of visits used.
4. Complete the treatment plan section by indicating if the member participated in the development of their treatment plan and noting any co-morbid medical conditions.
5. Provide the agency name and the behavioral health provider's information, including the practitioner’s name, credentials, phone number, and fax number. Ensure billing codes and number of visits needed are filled out for various treatment types.
6. Fill out the primary care provider (PCP) information, including the PCP's name, phone number, and fax number, along with the required treatment details.
7. In the primary care provider coordination section, answer whether the PCP has been notified of the member's treatment and medication. Provide details on any refusals to share information.
8. List any medications prescribed by the PCP, including dosages. Repeat this for medications prescribed by a psychiatrist, if applicable.
9. In the discharge plan section, record the expected discharge date and whether the member will participate in aftercare or self-help groups. Confirm if they have social or family support.
10. Once all sections are completed, review the form for accuracy. You can then save changes, download the completed form, print it, or share it as needed.

Complete the Continued Outpatient Treatment Notification Form online to ensure seamless communication and care.