Aide Supervisory Visit/Telehealth

$14.55

This one-page form allows the appropriate skilled professional to document that the aide is furnishing care in a safe and effective manner.

Description

This one-page form allows the appropriate skilled professional to document that the aide is furnishing care in a safe and effective manner. If during the telehealth visit the skilled professional identifies an area of concern the form provides a place to document the situation and the date of a scheduled on-site visit, if needed. The clinician may also document changes in the patient’s condition or care needs and the appropriate follow-up.

  •      The time the call was started and ended
  •      The type of device used to complete the call
  •      The call participants
  •      The aide’s presence or absence
  •      Pertinent follow-up interventions effecting the plan of care
  •      Documentation of communication with the physician, if applicable

Download a sample today!

You may purchase the digital version of this form through our parent company, Briggs Healthcare. All digital forms are licensed, sold and billed directly through Briggs.

Specifications:

Size:  8 1/2″ x 11″
Print:  1-side, black ink
Punching:   5-holes top and side
Packaging:  100 per pad