Physician Statement of Life-Limiting Illness - Colorado

Physician Statement of Life-Limiting Illness is a legal document that was released by the Colorado Department of Health Care Policy and Financing - a government authority operating within Colorado.

FAQ

Q: What is a Physician Statement of Life-Limiting Illness?A: A Physician Statement of Life-Limiting Illness is a document completed by a physician that provides information about a patient's medical condition indicating that they have a life-limiting illness.

Q: Why is a Physician Statement of Life-Limiting Illness important?A: The Physician Statement of Life-Limiting Illness is important for individuals who are applying for certain benefits or services, such as hospice care or the Colorado Medical Orders for Scope of Treatment (MOST) program.

Q: Who can complete a Physician Statement of Life-Limiting Illness?A: A physician who is licensed in Colorado and is familiar with the patient's medical condition can complete the Physician Statement of Life-Limiting Illness.

Q: What information is included in a Physician Statement of Life-Limiting Illness?A: The Physician Statement of Life-Limiting Illness includes the patient's name, date of birth, diagnosis, prognosis, expected prognosis timeframe, and the physician's signature and contact information.

Q: Can a Physician Statement of Life-Limiting Illness be submitted electronically?A: Yes, the Physician Statement of Life-Limiting Illness can be submitted electronically as long as it meets the requirements outlined by the organization or agency receiving the document.

Q: Do I need to pay to get a Physician Statement of Life-Limiting Illness form?A: There may be a fee associated with obtaining a Physician Statement of Life-Limiting Illness form, depending on the organization or agency providing it. It is best to check with them directly.

Q: Can I use a Physician Statement of Life-Limiting Illness from another state?A: It is recommended to use a Physician Statement of Life-Limiting Illness form specific to Colorado, as requirements may vary between states. However, you should consult with the organization or agency requiring the form to determine their specific requirements.

Q: How long is a Physician Statement of Life-Limiting Illness valid?A: The validity period of a Physician Statement of Life-Limiting Illness may vary depending on the organization or agency that requires it. It is best to confirm with them regarding the expiration or renewal process.

Q: Can I use a Physician Statement of Life-Limiting Illness for multiple purposes?A: The use of a Physician Statement of Life-Limiting Illness may be specific to certain benefits or services. It is advised to consult with the organization or agency to determine if the same form can be used for multiple purposes.