Get D1216s Treatment Service Voucher For Use By Specialists And Consultant Physicians Only. D1216s

Filling out the D1216S Treatment Service Voucher online is essential for specialists and consultant physicians when providing services to their patients. This guide will provide you with clear instructions on how to complete each section of the form efficiently.

Follow the steps to accurately fill out the D1216S Treatment Service Voucher.

1. Press the 'Get Form' button to obtain the D1216S voucher and open it in the designated online editor.
2. Begin by completing the Patient Details section. Enter the patient's file number, first name, middle initial, and surname. If the file number is unknown, provide the patient's date of birth and address instead.
3. In the next field, write the Item Number or Description of the Service that will be provided.
4. Fill in the 'Condition Treated' section only if the veteran holds a White card for specific conditions, or in case of an emergency service.
5. Complete the 'Treatment Location' section only if the service will not take place in a medical practice. If the treatment occurs in a hospital, specify the hospital's name.
6. If any pathology tests are requested, provide a brief description of these tests in the respective section.
7. Ensure the patient provides the requested information and signs the form. If they are unable to sign, please sign in the designated area.
8. For emergency services, ensure to cross and sign the appropriate section confirming the nature of the service.
9. Finally, submit the Departmental copy along with any relevant documentation with your claim. Ensure the patient receives the Patient copy, and retain the Claimant copy for your records.

Start filling out the D1216S Treatment Service Voucher online today to ensure efficient processing of your claims.