Get Hrif Team Visit Report Form - Department Of Health Care Services ...

Filling out the HRIF Team Visit Report Form is an essential task for healthcare professionals involved in the High Risk Infant Follow-Up Program. This guide will provide you with step-by-step instructions to ensure that you complete the form accurately and effectively.

Follow the steps to fill out the HRIF Team Visit Report Form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Enter the child’s name in the designated field. This is crucial for identifying the case you are managing.
3. Fill in the name of the HRIF program that you are associated with. This will help in tracking and organizing records.
4. Record the HRIF visit date accurately. This provides a timeline for the child's follow-up care.
5. Provide the CCS HRIF SCC Directory Number and CCS Number. These identifiers are important for case management.
6. List the names of team members involved in the visit in the space provided. This helps to acknowledge all contributors to the assessment.
7. Indicate the child’s birth date in the specified section. This information is essential for understanding the child's development.
8. Specify the current medical home provider by writing their name in the appropriate field. This allows for continued coordination of care.
9. Attach a summary of key findings and recommendations, including relevant assessments for motor, neurological, audiology, ophthalmology, and psychosocial evaluations.
10. Include a copy of the physician report that details the physical exam findings and recommendations for case management.
11. Check all recipients of this report in the designated area to confirm who will receive a copy of the report.
12. Complete the section on interventions and other providers involved in the child's care. This includes listing any therapists or other specialists.
13. Once all fields are filled and attachments are included, review the form for accuracy, then save your changes, download, print, or share the completed document as needed.

Complete your HRIF Team Visit Report Form online today to ensure thorough documentation and continuity of care.