3-2-1 Code It! , Second Edition - PDF Free Download - Epdf 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'CPT' and 'ICD-10' fields at the top of the form. These are essential for categorizing the patient's condition.
3. Enter the 'Intake Date' and 'Time' to document when the intake is occurring. This helps maintain accurate records.
4. In the 'Patient Information' section, provide details such as the child's name, preferred name, date of birth, grade, and school. This information is crucial for identifying the patient.
5. Complete the 'Parent Name' field to ensure that communication can be directed appropriately.
6. In the 'Referring / Medical Information' section, describe your concerns and any relevant diagnoses. Use checkboxes for self-care skills and previous occupational therapy.
7. Fill out availability for appointments in the 'General Information' section, indicating preferred days.

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