Home Care Admission Packet

$513.04
In stock
Product Code :
MPSBRG-3400
More Information
Color White
MPN 3400
Brand Briggs Health Care
Packaging 1 per each
Size 9In x 12In

Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details.

The Home Care Admission Packetincludes 2-pocket folder, Guide to Health at Home Booklet and eight forms shrink wrapped in order of use.

TheAdmissions Folderprovides staff contact information and statement of confidentiality. Designed to provide a central location for the client to keep their home care information close at hand. Customize folder with your agency logo and/or information. (Briggs custom label H11908L)

Your Guide to Health at Home Bookletcontains all the necessary and regulatory information for a new home care client and their family. This guide has been developed with the client in mind using large fonts andsimplified language. Staff information and Medicare requirements are covered. The guide also includes such topics as patientrights, confidentiality, safety, infection control and emergency preparedness. The inclusive booklet was designed for ease of use by the nurse and client, click to view here.

Forms assembled in order of use:

Admission Service Agreement

Medicare Secondary Payer Worksheet

Statement Patient Privacy

Do Not Resuscitate Request

Medication Profile

Medication Profile Addendum

Medication Side Effects

HHA Care Plan
9" x 12", white folder, 2 pocket, die cut for business card.Front of folder has a 3 1/4" x4" area for label. This accomodates the Briggs H11908L custom label. Booklet is 14 pages, stapled, 20# white bond, black ink.
For forms specifications, see individual forms. Packaged 25 packets per case. Sold by the case.
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