Illinois Report Of Physician and Other Evaluators

State:
Illinois
Control #:
IL-NSKU-3171
Format:
PDF
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Description

Report Of Physician and Other Evaluators

The Illinois Report Of Physician and Other Evaluators is a form used by the Illinois Department of Healthcare and Family Services to assess a person’s physical and mental condition. It is usually prepared by a qualified physician or other qualified evaluator, such as a psychiatrist, psychologist, or social worker. The report provides important information about the person’s diagnosis, prognosis, and treatment needs. It is used as a basis for determining the person’s eligibility for certain services and benefits, such as state-funded health care and Social Security Disability Insurance (SDI). There are two types of Illinois Report Of Physician and Other Evaluators: the Comprehensive Evaluation Report and the Mental Health Evaluation Report. The Comprehensive Evaluation Report includes information such as the patient’s medical history, physical and mental examination, laboratory test results, and recommendations for treatment. The Mental Health Evaluation Report includes information such as the patient’s mental status, current diagnoses, and any recommendations for mental health services.

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Illinois Report Of Physician and Other Evaluators