Care continuity form 2026

1. Click ‘Get Form’ to open the care continuity form in the editor.
2. Begin by filling out the general information section, including your employer details, policy number, and enrollment date. Ensure all fields are completed accurately.
3. Provide patient information such as name, social security number, birth date, and relationship to the employee. This is crucial for identifying the individual requiring care.
4. Answer the eligibility questions regarding pregnancy status, ongoing treatments, and any scheduled surgeries. Be thorough; if a question does not apply, indicate 'N/A'.
5. Complete the healthcare professional information section with details about the current provider and treatment being received. This helps in assessing your transition needs.
6. Review all entries for accuracy before submitting. Use our platform’s features to save your progress or make edits as needed.

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