Get Better Health Domestic Violence (dv) Screening/documentation Form
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How to fill out the Better Health Domestic Violence (DV) Screening/Documentation Form online
The Better Health Domestic Violence (DV) Screening/Documentation Form is a crucial tool for ensuring the safety and well-being of individuals affected by domestic violence. This guide provides comprehensive steps for filling out the form online efficiently and accurately.
Follow the steps to complete the form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the date and patient ID number in the designated fields. Ensure that these details are accurate for proper record-keeping.
- Provide the patient's name and the provider's name in the specified areas. This helps in identifying the individuals involved.
- Indicate whether the patient is pregnant by checking the appropriate box (Yes or No). This information is relevant for assessments and referrals.
- Complete the DV Screen section by selecting the appropriate option, either DV+ (Positive) or DV? (Suspected), based on your assessment.
- In the Examination Findings section, enter any relevant observations or notes from your examination. This should be comprehensive to support further action.
- Assess patient safety by answering yes or no to each question regarding the current situation, including whether the abuser is present and if the patient feels safe. Use the additional space to provide details as necessary.
- Document any referrals made in the Referrals section. This includes legal referrals, shelter information, or other relevant services.
- Indicate if any reports were made to law enforcement, child protective services, or adult protective services in the Reporting section.
- In the Photographs section, confirm if consent to take photographs was granted and whether photographs were taken, marking the respective boxes.
- Once all fields and sections are completed, save your changes, and then download, print, or share the form as needed.
Begin filling out the Better Health Domestic Violence Screening/Documentation Form online today.
The ICD-10 code Z48.8 refers to 'encounter for other specified postprocedural care'. This code is used when a patient requires follow-up after medical treatment. In the context of the Better Health Domestic Violence (DV) Screening/Documentation Form, it is vital for healthcare professionals to recognize the ongoing needs of patients who have experienced violence and ensure they receive appropriate support after any medical procedures.
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