Sale price$5.28

Item Discontinued

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Description

PAD, UNC LEAVE BEHIND PROVIDERCHECK LIST (12PK/CS)

Product Specs

Item Number 1218340
Catalog Number UHCCHKLIST
UOM CS
Level 1 Family Description Equipment & Equip Disposables
Level 2 Category Description Training Equipment & Supplies
Level 3 Group Description Other Training Supplies
Level 4 Sub-Category Description Other Training Supplies
Application Check List Form
Brand Signigyhealth
Buy American Act (BAA) Compliant No
Color White
Country of Origin Unknown
Dimensions 8 X 10 Inch
Manufacturer Signify Health
Manufacturer # UHCCHKLIST
Material Paper
McKesson # 1218340
Trade Agreement Act (TAA) Compliant No
Type PCP Screening
UNSPSC Code 42142304

Frequently asked questions

Does this form improve clinical documentation consistency?

Yes, this form is specifically designed to provide a structured format for recording patient data. By utilizing standardized fields for vital signs and screening results, it ensures consistency and professional organization across all patient visits.

Can this be used as a patient leave-behind document?

Absolutely. One of the primary functions of this form is to act as a “leave-behind” summary. It keeps members informed about their visit, the results recorded, and the necessary follow-up steps they need to take with their primary care physician.

Are there specific sections for lab results?

Yes, the form includes dedicated, organized checklists for various labs and tests, including:

  • HbA1c levels
  • Bone density scans
  • Spirometry results
  • Peripheral Artery Disease (PAD) screenings
Does it track physical vitals effectively?

The form features a clear section specifically for recording essential physical vitals, including:

  • Temperature
  • Height and Weight
  • BMI
  • Blood pressure
  • Heart rate
Is there space for additional clinical notes?

Yes, the layout provides ample dedicated space for clinician notes, allowing healthcare providers to capture observations or instructions that fall outside the standard checklist items.

Does it include information on medication safety?

Yes, the document includes a specific section regarding safe drug disposal locations, helping to ensure that members have the information they need to manage their medications responsibly.

Is this form suitable for home health visits?

Yes, it is perfectly tailored for home health visits, wellness screenings, and clinical outreach programs. Its 8 x 10 inch size and structured layout make it highly portable and professional for mobile healthcare environments.

How many forms are included per case?

This product is supplied as a case containing 12 packs of these specialized PCP screening checklist forms.

Is the document design easy for patients to read?

The form is designed with a clean, professional aesthetic. It uses clear, sans-serif typography on a white background to maximize readability, ensuring that both patients and primary care physicians can easily interpret the recorded health data.

Is the paper quality professional-grade?

Yes, the forms are printed on high-quality paper, ensuring they are durable enough to be handled during home visits and serve as a reliable reference document for patient records.