This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HFS2305E?
A: Form HFS2305E is a questionnaire and order form for cranial remolding orthosis or cranial cervical orthosis for the treatment of congenital torticollis in Illinois.
Q: What is a cranial remolding orthosis?
A: A cranial remolding orthosis is a device used to treat asymmetry or abnormal head shape in infants.
Q: What is a cranial cervical orthosis?
A: A cranial cervical orthosis is a device used to treat congenital torticollis, a condition where an infant's head is tilted to one side.
Q: What is congenital torticollis?
A: Congenital torticollis is a condition in which an infant's neck muscles are tight or shortened, causing the head to tilt to one side.
Q: Who should use Form HFS2305E?
A: Form HFS2305E is used by healthcare providers in Illinois who are prescribing cranial remolding orthosis or cranial cervical orthosis for the treatment of congenital torticollis.
Q: What information is required on Form HFS2305E?
A: Form HFS2305E requires information such as patient's personal details, diagnosis, treatment plan, and healthcare provider information.
Form Details:
Download a fillable version of Form HFS2305E by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.