Intake Forms & Informed Consent
The first therapist (PT/OT/ST) to see the patient is responsible for completing intake.
We're mobile, so we need our therapists' help completing the required authorizations from a patient or a patient representative. We can't bill for a service without these forms. The first therapist (PT/OT/ST) to see the patient must complete the intake at the time of the Initial Evaluation.
What Is Needed
Signed Intake Package
Picture or ID of the patient (uploaded to HUCU)
Copy of insurance card(s) uploaded to HUCU
You can complete LifeCare's intake package on your phone or tablet. The system requests the patient's email and automatically sends a signed copy of the form upon completion. A printable paper version is also available.
Steps:
Get the link or QR Code for the intake package and save it to your phone/device.
Open the form and review it with the patient, who will complete signatures on the last page.
Please review the Cancellation Policy with the patient.
Save the attached PDF form to upload to the EMR. We will demonstrate how to add attachments during your EMR Training.
How Do I Know If I Need To Complete the Intake?
If you are the first/only discipline to see the patient, complete this BEFORE you start your evaluation. Please ask in the patient's HUCU channel if you are not sure.