Get Primary Care Physician Follow-up Of Behavioral Health Consultation/visit
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Primary Care Physician Follow-up of Behavioral Health Consultation/Visit online
This guide provides step-by-step instructions on how to accurately fill out the Primary Care Physician Follow-up of Behavioral Health Consultation/Visit form online. It is designed to facilitate communication between behavioral health providers and primary care physicians.
Follow the steps to complete the form effectively.
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- Fill in the date of the consultation or visit at the top of the form. Ensure the date reflects the actual date the visit occurred.
- Enter the primary care physician's name in the designated field. This should be the name of the physician who will receive the follow-up information.
- Complete the address fields for the primary care physician, including the street address, city, state, and zip code to ensure proper communication.
- Input the primary care physician's phone number in the specified field for easy contact.
- In the patient information section, fill in the patient’s name. This should be the full name of the patient being referred.
- Record the patient's date of birth. This is important for identifying the correct medical records and providing accurate information.
- Specify the date of the behavioral health evaluation visit. Make sure it matches the date you recorded at the top of the form.
- If you have any questions, provide your contact information in the specified field for the primary care physician to reach you.
- Indicate the diagnosis by selecting the appropriate axis (I, II, III, IV) to provide clinicians with a clear understanding of the patient’s condition.
- List any medications prescribed during the visit. Ensure this information is accurate and supports the treatment plan.
- Utilize the comments section to include any additional relevant information regarding the patient’s treatment or circumstances.
- In the treatment recommendations section, check the boxes next to the recommended therapy types (individual, family, group, couples, or other). Provide details in the 'Other' field if applicable.
- Finally, enter the name of the behavioral health specialist who conducted the evaluation to attribute the information correctly.
- Once you have filled out all the necessary fields, you can save your changes, download the form, print it, or share it as needed.
Complete your documents online today for efficient record management.
Related links form
Yes, primary care includes behavioral health as part of a holistic approach to healthcare. Primary care physicians recognize the importance of mental health and often incorporate behavioral assessments into their routine checks. By addressing both physical and mental well-being in a primary care physician follow-up of behavioral health consultation/visit, you can experience a more comprehensive healthcare experience.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.