Form HFS2305E Questionnaire and Order for Cranial Remolding Orthosis or Cranial Cervical Orthosis Congenital Torticollis Type - Illinois

Form HFS2305E Questionnaire and Order for Cranial Remolding Orthosis or Cranial Cervical Orthosis Congenital Torticollis Type - Illinois

What Is Form HFS2305E?

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.

FAQ

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.

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Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the Illinois Department of Healthcare and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

Download Form HFS2305E Questionnaire and Order for Cranial Remolding Orthosis or Cranial Cervical Orthosis Congenital Torticollis Type - Illinois

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