Form OP-140119D Infirmary / Convalescent H & P Admission Assessment - Oklahoma

Form OP-140119D Infirmary / Convalescent H & P Admission Assessment - Oklahoma

What Is Form OP-140119D?

This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the Form OP-140119D Infirmary/Convalescent H & P Admission Assessment?
A: The purpose of the form is to assess the health and medical history of a patient being admitted to an infirmary or convalescent facility in Oklahoma.

Q: What information does the Form OP-140119D Infirmary/Convalescent H & P Admission Assessment collect?
A: The form collects information about the patient's demographic details, medical history, allergies, and current medications, among other relevant information.

Q: Who is required to complete the Form OP-140119D Infirmary/Convalescent H & P Admission Assessment?
A: The form should be completed by a qualified healthcare professional, such as a physician or nurse, who is responsible for the admission assessment of the patient.

Q: Are there any fees associated with submitting the Form OP-140119D Infirmary/Convalescent H & P Admission Assessment?
A: There may be fees associated with the submission of the form, depending on the policies of the infirmary/convalescent facility or the healthcare provider completing the assessment. It is best to check with the specific facility or provider for any applicable fees.

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Form Details:

  • Released on July 1, 2016;
  • The latest edition provided by the Oklahoma Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form OP-140119D by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.

Download Form OP-140119D Infirmary / Convalescent H & P Admission Assessment - Oklahoma

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