Get Occupational Therapy Evaluation Re-evaluation

Filling out the occupational therapy evaluation re-evaluation form online is a crucial step in ensuring that individuals receive the necessary assessments and treatments tailored to their unique needs. This guide provides a comprehensive walkthrough of the form's components and the steps required to complete it effectively.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Input the client's primary and secondary insurance information in the designated fields labeled 'Primary Ins' and 'Secondary Ins'. Ensure accuracy to avoid complications with billing.
3. Enter the client's last name, first name, and date of birth in the respective fields. These identifiers are essential for accessing patient records.
4. Complete the client number if applicable, along with the primary diagnosis using the ICD-9 code for proper medical documentation.
5. Fill in the provider number and provider name, which may be required for insurance claims and tracking.
6. Document the onset date of the issue and the start of care (SOC) date, which helps in understanding the timeline of services.
7. Specify the treatment diagnosis using the ICD-9 code, ensuring it aligns with the primary diagnosis.
8. Outline the functional goals both short-term and long-term. Provide specific, measurable outcomes in the 'Functional Goals' and 'Outcome' sections.
9. Select appropriate plans of treatment by checking the relevant boxes for services to be provided, such as evaluation or therapeutic exercise.
10. Complete the certification section, including the physician's name, date, and signature affirming the plan of treatment is necessary.
11. Assess and note the impaired functional areas and current status, along with any prior levels of function and medical complications.
12. Indicate precautions or contraindications, ensuring safety during treatments.
13. Enter vital signs and document other necessary clinical impressions to provide context for the treatment.
14. Review all entered information for accuracy. Once confirmed, users can save changes, download, print, or share the completed form as needed.

Complete your occupational therapy evaluation re-evaluation online today.