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Transition of Care Questionnaire - Global Benefits Group

Transition of Care Questionnaire - Global Benefits Group 2026

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The document is a Transition of Care Questionnaire designed for policyholders to provide necessary information regarding their medical conditions and ongoing treatments when transitioning to coverage with Global Benefits Group (GBG). It includes sections for policyholder and applicant information, specific health inquiries, doctor/facility details, and an authorization declaration for the release of medical information. The form aims to ensure that patients receive appropriate care during the transition period.

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Click ‘Get Form’ to open it in the editor.
Begin with Section A: Policyholder Information. Fill in your name, policy number, GBG ID, employer (if applicable), date of birth, address, postal code, country, phone, fax, and email.
If applicable, complete Section B: Applicant Information for a spouse or dependent. Include their name, date of birth, address, postal code, country, phone, fax, and email.
In Section C: Transition of Care Questionnaire, answer the questions regarding the patient's current health status. Provide details if any answers are 'Yes'.
Proceed to Section D: Doctor/Facility Information. Enter the applicant’s doctor or facility name and contact details. Include any relevant treatment history.
Finally, complete Section E: Authorization/Declaration by signing electronically and providing your name and date.

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2018	4.8 Satisfied (210 Votes)

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What are the protocols for transition of care?

The basic elements of a successful transitional care strategy include patient engagement, use of a dedicated transitions provider, medication management (including medication reconciliation), facilitation of communication with outpatient providers, and patient outreach (Table 3).

What is transition questionnaire?

Transition assessments gather information about a students needs, strengths, preferences, and interests as they related to the domains of employment, postsecondary education, and independent living. Assessments may by formal or informal. They often involve surveys, interviews, and observations of the student.

What is the traq score?

TRAQ is a nondisease-specific self-report measure that assesses self-management and advocacy skills of youth with special health care needs. This study provides guidance on assessing transition readiness scores of adolescents with diabetes and identifying when health care providers should intervene.

What are the benefits of transitional care?

Transitional care serves as a vital link between health care settings and the home, offering essential services to facilitate a smooth transfer for patients. Its particularly important for aging adults dealing with severe or chronic health conditions that require ongoing monitoring.

What is transition to adult care?

Transition is defined as an active process that addresses the medical psychosocial and educational needs of adolescents as they prepare to move from child- to adult-centered healthcare. Transfer refers to the physical change in location of where healthcare is provided.

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What is the Transition Readiness Assessment questionnaire?

The Transition Readiness Assessment Questionnaire (TRAQ) 5.0 is a 20‐item questionnaire that measures transition readiness in youth preparing to transition to adult care. Although the TRAQ has been validated and used across many health settings, it has not been validated in youth with primarily mental health concerns.

What is the transition to adult care questionnaire?

The TRAQ measures key skills needed by all adolescents to manage their own health and healthcare, so they are ready to enter the adult healthcare world. The Transition Readiness Assessment Questionnaire was developed to allow self-assessment by youth 14-21 on the management of their own health and healthcare.

Transition of Care Questionnaire - Global Benefits Group 2026

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