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Notification to Staff of Presence at Partial Hospitalization Program Form |
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Manual: Behavioral Health Partial Hospitalization Program Policy and Procedure Manual (Ver 2) External Reference: (TJC RI.2.130)
MCN’s customizable template, Notification to Staff of Presence at Partial Hospitalization Program Form, is taken from our Behavioral Health Partial Hospitalization Program Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Notification to Staff of Presence at Partial Hospitalization Program Form:
| | NOTIFICATION TO STAFF OF PRESENCE
AT PARTIAL HOSPITALIZATION PROGRAM
During my stay, I DO authorize Partial Hospitalization Program staff to state that I am presently a patient and to refer telephone calls or other inquiries to me when the following people call the program:
Name:
Name:
Name:
Name:
Name:
Name:
Name:
Name:
Name:
During my stay, I DO NOT authorize Partial Hospitalization Program staff to state that I am presently a patient and to refer telephone calls or other inquiries to me.
Do you wish to notify a relative of your admission?
If yes:
Name of Person:... |
| Second excerpt: |
| | ...
Name:
During my stay, I DO NOT authorize Partial Hospitalization Program staff to state that I am presently a patient and to refer telephone calls or other inquiries to me.
Do you wish to notify a relative of your admission?
If yes:
Name of Person:
Contacted:
Signature:
1
Reference #1011 Partial... |
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Back to Behavioral Health Partial Hospitalization Program Policy and Procedure Manual (Ver 2) |
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