Description

Through the recent rulemaking, CMS added many new services that can be provided as telehealth services during the PHE in order continue lowering exposure risk for clinicians and patients. Allowing home health agencies to provide more services to beneficiaries using telecommunications technology.

This two-page form addresses a wide range of possibilities. Clinician may complete the sections pertinent to the patient’s needs.

Document assessment findings in the following sections:

• Person who initiated the communication
• The time the call was started and ended
• The type of device used to complete the call
• The call participants
• Chief complaint or concern/ reason for follow-up
• Ample space for narratives and an extensive body system check list
• Pertinent follow-up and / or outcome
• 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:  2-sides different, black ink
Punching:  5-holes top and side
Packaging:  100 per pad