Form CH-12 Miscellaneous Screenings and Laboratory Tests Performed - Kentucky

What Is Form CH-12?

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

FAQ

Q: What is Form CH-12?
A: Form CH-12 is a document that records the miscellaneous screenings and laboratory tests performed.

Q: What does Form CH-12 include?
A: Form CH-12 includes information about the various screenings and tests conducted.

Q: Who completes Form CH-12?
A: Form CH-12 is completed by the healthcare provider who conducted the screenings and tests.

Q: What is the purpose of Form CH-12?
A: The purpose of Form CH-12 is to document the screenings and laboratory tests performed on an individual.

Q: Do I need to fill out Form CH-12 myself?
A: No, Form CH-12 is filled out by the healthcare provider.

Q: Why is it important to keep a record of screenings and tests?
A: Keeping a record of screenings and tests helps with medical history documentation and provides a reference for future treatment decisions.

Q: Can I access my own Form CH-12?
A: You can request a copy of your Form CH-12 from the healthcare provider who performed the screenings and tests.

Q: What information is included in Form CH-12?
A: Form CH-12 includes details such as the date of the screenings/tests, the type of tests conducted, and the results or findings.

Q: Are the screenings and tests on Form CH-12 mandatory?
A: The screenings and tests on Form CH-12 may be required depending on the specific healthcare situation or requirements.

Q: Is Form CH-12 specific to Kentucky?
A: Yes, Form CH-12 is specific to Kentucky and is used to record screenings and tests performed in that state.