Get List Of 18 Identifiers - Osf Saint Francis Medical Center - Osfsaintfrancis

Navigating the process of filling out the List of 18 Identifiers can be crucial for ensuring accurate and compliant handling of protected health information. This guide offers clear, step-by-step instructions to assist users in completing the form online.

Follow the steps to efficiently complete the List Of 18 Identifiers form.

1. Press the ‘Get Form’ button to obtain the form and open it in the designated editing tool.
2. Enter your name in the appropriate field. Ensure that the spelling is accurate as this is a critical identifier.
3. Fill in all geographical subdivisions smaller than a state. This includes your complete street address, city, county, precinct, and zip code, while ensuring to exclude the first three digits of the zip if applicable.
4. Input the relevant dates related to the individual, including but not limited to the birth date, admission date, discharge date, and date of death. Note that for individuals over the age of 89, include age details appropriately.
5. Provide contact information, including phone numbers and fax numbers, ensuring that they are current.
6. List all electronic mail addresses associated with the individual.
7. Enter the Social Security number and any other unique identifying numbers or characteristics, such as medical record numbers or account numbers.
8. If applicable, include vehicle identifiers and device identifiers, ensuring that all serial numbers are accurate.
9. Include any web URLs and internet protocol address numbers relevant to the individual.
10. Record any biometric identifiers, such as fingerprints or voice prints, if necessary.
11. Review your entries for accuracy before proceeding to finalize the document.
12. Once all sections are complete, you can save changes to the document, download it, print it, or share it as needed.

Begin filling out your List of 18 Identifiers form online to ensure compliance and accuracy.