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Aide Supervisory Visit/Telehealth

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$18.75
QuantityPrice
1 – 4$18.75
5 – 9$16.10
10 – 14$13.35
15 +$10.60
SKU: 3554P
$18.75

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.

This form includes:

      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!

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

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