Emergency Preparedness for Elderly: Authorization to Disclose Health Information

Form Template

Responding to a crisis can be one of the most challenging situations you will face as the leader or Executive Director of a senior living community.

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Being as prepared as possible will help you meet that challenge, and using this guide will help you create an emergency response plan that best meets the needs of your residents. Use the Emergency Preparedness for Elderly: Authorization to Disclose Health Information mobile app if the resident/individual requires emergency medical treatment and a family member/responsible party cannot be reached. The app authorize the disclosure of the named individual’s health information as described in the app.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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