Get Fci Preauth Form

Filling out the Fci Preauth Form online is a straightforward process that ensures efficient authorization for indoor treatment. This guide will provide step-by-step instructions to help you complete the form correctly and navigate its components with ease.

Follow the steps to fill out the Fci Preauth Form online.

1. Click ‘Get Form’ button to obtain the Fci Preauth Form and open it in your preferred online editor.
2. Begin by entering the patient's name, age, and sex in the designated fields at the top of the form. Ensure all information is accurate and spelled correctly.
3. Input the Employee’s name and relation to the patient, along with the Employee ID number. Attach a copy of the FCI ID card as required.
4. Fill in the hospital's name and address, along with their contact number. This information is crucial for processing the authorization.
5. Provide a detailed account of the presenting complaints and their duration. This helps the reviewing authority understand the patient's condition.
6. Document any relevant past history, clinical findings, and measurements such as vitals (pulse rate, respiratory rate, blood pressure, temperature) under the respective sections.
7. Include details from any investigation already performed and any treatment that has been taken prior to this application.
8. State the admission diagnosis and outline the treatment plan along with the expected duration of the patient’s stay.
9. Input the name and specialty of the treating doctor. If an FCI doctor is assigned, include their recommendation.
10. Once all sections are completed, review the form for any errors or omissions. Make necessary adjustments.
11. Finally, save your changes, download a copy of the form for your records, print it if needed, or share it with the relevant parties as required.

Complete your forms online today for a smoother authorization process.