Psychiatric Residential Treatment Facility (PRTF) Children’s Specialty Approval Form
By signing this agreement, the Provider agrees: A physician will see each member at a minimum, once a week.
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To maintain medical records that document the degree and intensity of the psychiatric care delivered to children. To maintain a staffing ratio of 1:3 at a minimum during routine waking hours and 1:6 during time residents are asleep, with 24-hour nursing care supervised by an RN for management of behaviors and medical complications. To be a secure unit, due to the complexity of needs and safety considerations. To meet the admission guidelines found in all applicable State and Federal law. The Psychiatric Residential Treatment Facility (PRTF) Children’s Specialty Approval Form mobile app allows you to replace your paper approval form with an Android, iPhone, tablet or Windows desktop computer. The mobile form includes fields to document items such as provider name, provider ID, address, email and captures the signature of the provider. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your human resources records. You can also use the App Builder to personalize and customize this mobile form.
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