Addendum to 485 Plan of Care Face-to-Face Encounter ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the MR# and Patient Name along with their Date of Birth. Ensure all blanks are completed for accuracy.
3. In the section certifying the face-to-face encounter, enter the date of the encounter clearly, specifying Month, Day, and Year.
4. Provide a detailed explanation of why the patient needs to be restricted to home. Use specific diagnoses and examples as needed.
5. For each service ordered (Nursing, Physical Therapy, Speech Therapy), articulate why care is necessary. Refer to provided examples for guidance.
6. Ensure that both NP/PA and Physician signatures are included where required, along with printed names and dates.
7. Once completed, utilize our platform’s features to save or fax the document directly to Athens Regional Home Health at (706)475-5570.

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