Healthcare Documents

This file is used for reporting patient safety events in hospitals. It includes questions about the event location, reporter details, and contributing factors. It helps improve patient safety by collecting detailed information about incidents and near misses.

This document provides details and instructions for the Alcon Rewards Program 2024. It includes rebate information, how to claim rewards, and program terms. Alcon users can save up to $225 in rewards.

This file provides a detailed guide on how to use the 2023 Outpatient E/M Audit Tool. It includes instructions for documentation, coding guidelines, and MDM elements. Ideal for healthcare providers and auditors.

This document provides comprehensive guidelines for audiologic screening developed by the American Speech-Language-Hearing Association (ASHA). It includes principles of screening, diagnostic criteria, and treatment recommendations. The guidelines aim to enhance early detection and treatment of audiologic disorders.

The DMAS-90A form is used for recording skilled respite care provided by RN/LPN services. It includes patient information, medical assessments, and care details. Proper completion of this form ensures accurate documentation and compliance with state and federal regulations.

This file is a request form for massage therapy treatment. It includes sections for the patient's information, doctor's referral, and signatures. It is intended for patients who need a referral for medical massage.

This file is the Acupuncture Intake Form used by Cleveland Clinic's Center for Integrative Medicine. It collects personal, medical, and emotional health details of patients. It also covers symptoms, lifestyle, and treatment history.

This document is the Edinburgh Postnatal Depression Scale (EPDS) questionnaire, which is used to screen for postnatal depression in new mothers. It includes a series of questions about how the user has been feeling over the past week. The user should answer the questions based on their recent experiences.

This file provides details about the Peoples Health 2022 over-the-counter benefit, including types of products covered and instructions on how to use the benefit. It includes a sample catalog and information on how to shop for covered products via catalog, online, or phone.

This file is a consent form for oral surgery provided by Health Partners of Western Ohio. It includes recommended treatment, alternatives, risks, and patient consent sections. The form must be completed to authorize the surgical procedure.

The CareAllies Initial Pre-Certification Request Form is used to request a pre-certification review for medical services. Submit this form with all required details for approval. Ensure to attach any clinical information if available.

This file provides information about the Texas Medicaid Estate Recovery Program and its impact on long-term care services. It explains how the program works, when the state may ask for money back, and the exceptions and hardships considered. The form also includes instructions on how to acknowledge receipt of the information.