How to use or fill out Placement Patient Information Form - urmc rochester with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the patient's name and date at the top of the form. Ensure accuracy as this information is crucial for identification.
- Fill in the social worker's name and phone number, along with the unit details. This helps streamline communication regarding patient placement.
- Indicate the OBS status by selecting from options such as Full Inpatient Admit or Previous Hospital Stay within last 30 days.
- Specify the expected discharge date and disposition by choosing from options like HRF, SNF Long Term, or Home. This section is vital for planning post-discharge care.
- List facility choices in order of preference (1-10). Mark your selections clearly to ensure proper placement according to preferences.
- Complete any additional fields related to special needs, such as equipment requirements or medical conditions, ensuring all relevant information is provided.
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