Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form Mobile App
The Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form allows users to instantly capture and record pertinent data on their smartphones or tablets.
- Signature Capture
- Image Capture
- Conditional Fields
- Submission Editing
- Reference Data
It includes items such as; patient information, sight, hearing, decision making capacity, emergency contact, medical condition, infection control issues, patient risk alerts, advance care planning, transfers, physician contacts, time sensitive information, pain assessment, vital signs, health status, nutrition, hydration, treatment and frequency, physical function, skin care, mental status, personal items and physician certification. In addition this mobile application includes a digital signature section to insure accountability.