Get Canada Alberta Health Services 25462 2019-2026

Filling out the Canada Alberta Health Services 25462 form is an essential step in facilitating effective rehabilitation services. This guide will provide you with clear, step-by-step instructions to complete the form efficiently and accurately.

Follow the steps to fill out the form completely and accurately.

1. Press the ‘Get Form’ button to access the Canada Alberta Health Services 25462 form and open it for editing.
2. Begin by entering the date of surgery or admission to the hospital in the required format (yyyy-Mon-dd). This information is crucial for tracking the patient’s progress and treatment timeline.
3. Input the patient's height in centimeters (cm) and weight in kilograms (kg). Accurate measurements are important for assessing the patient's suitability for various rehabilitation treatments.
4. Document the primary diagnosis or the history of the present illness. Provide as much detail as possible to ensure the rehabilitation team understands the patient's condition.
5. Indicate medical stability by checking the relevant boxes. Ensure all medical issues are identified and addressed prior to rehabilitation admission.
6. Describe the relevant past medical history, ensuring to highlight any conditions that may impact rehabilitation.
7. List any pending follow-up appointments, specifying the responsibility for transportation to and from these appointments.
8. State the client-specific rehabilitation goals, checking applicable boxes, and attach a complete medication list for clarity.
9. List any investigations that have been completed, ensuring copies are sent if the referring facility is out of province.
10. Provide additional information about the living situation prior to admission and whether this is the expected discharge location, marking the appropriate box.
11. Outline the supports and functional status prior to hospitalization, clarifying the patient’s functional level.
12. Attach three days of nursing and rehabilitation notes to provide insight into the patient’s current status.
13. Fill out the functional activities section, scoring the patient's capability in various tasks from eating to toileting, while providing comments where necessary.
14. Complete the referring details, including the referring facility name, contact person, and their phone number, along with the referring physician's name and signature with the date.

Complete your Canada Alberta Health Services 25462 form online today to ensure timely rehabilitation assistance.