Get Pats Block Approval Form - Wa Country Health Service

The PATS Block Approval Form is essential for users seeking approval for multiple visits related to treatment plans or dialysis. This guide provides step-by-step instructions to help you fill out the form accurately and effectively online.

Follow the steps to complete the PATS Block Approval Form.

1. Click ‘Get Form’ button to access the PATS Block Approval Form and open it for editing.
2. Fill out the 'Patient Details' section. Provide the patient's name, address, and date of birth as required.
3. In the 'Appointment Details' section, enter the specialist’s name, their specialty, and the inclusive dates for the scheduled appointments. Repeat this process for up to six appointments.
4. Indicate the type of transport and accommodation needed. Options include private air transport or commercial transport. Note the eligibility for air travel is assessed each visit.
5. Under 'Approval', indicate whether the patient requires an escort and fill in relevant details as needed.
6. The 'Specialist Certification' section must be completed by a health professional. Ensure they sign and print their name and address for validation.
7. Review the 'Instructions to Patient' section for guidance on attaching receipts for any commercial accommodation or transport. Ensure the form is returned to the PATS Office.
8. Finally, the patient or parent/guardian must sign and date the declaration verifying the accuracy of the attached receipts.
9. Once all sections are completed, save your changes. You can then download, print, or share the form as needed.

Complete your PATS Block Approval Form online today for efficient processing!