Get Briggs Home Health Face To Face Care Forms

Filling out the Briggs Home Health Face To Face Care Forms is an important step in the process of obtaining home health services. This guide will walk you through each section of the form to ensure that it is completed accurately and comprehensively.

Follow the steps to complete the form effectively.

1. Click 'Get Form' button to access the form and open it for editing.
2. Begin by entering the patient's name at the top of the form. Ensure the name is spelled correctly to avoid any discrepancies.
3. Next, fill in the patient's date of birth in the format of month/day/year. This is essential for identification purposes.
4. In the certification section, indicate the date of the face-to-face encounter. This date must be no more than 90 days before the start of home health care or within 30 days after the start.
5. State the medical condition that necessitates the face-to-face encounter. Be specific and detailed in describing the primary reason for the home health care referral.
6. In the designated box, check all applicable home health services that are deemed medically necessary: nursing, physical therapy, and/or speech language pathology.
7. Provide your clinical findings that support the need for the chosen services. Elaborate on how these findings justify the recommended home health services.
8. Next, certify that the patient is homebound. Describe the reasoning behind this qualification, mentioning the effort required for absences from home.
9. Complete the physician's signature section by signing and dating the form. Print your name legibly to ensure proper identification.
10. Finally, review the completed form for accuracy and completeness. Once verified, you can save changes, download, print, or share the form as necessary.

Complete your face-to-face care forms online today to ensure a smooth home health service process.