TX HHS Form 5202. Patient Navigation Consent

TX HHS Form 5202. Patient Navigation Consent

The TX HHS Form 5202, Patient Navigation Consent, is a crucial document that helps solve the problem of ensuring patients receiving navigation services understand their ongoing care coordination needs. This form is typically used in situations where patients have abnormal test results or require additional evaluation. The patient navigator or healthcare provider fills out this form to obtain the patient's consent for ongoing assessment and care planning.

The key features of this form include required information such as client identification, contact details, and consent for navigation services. The form also outlines conditions for which patients may need additional evaluation, including abnormal test results. Additionally, it highlights responsibilities, follow-up actions, and specific procedures for patient navigation, including education, referrals, and treatment planning.

This form is essential for healthcare providers to ensure that patients receive comprehensive care coordination and navigation services. By using the TX HHS Form 5202, Patient Navigation Consent, healthcare providers can streamline their workflow and provide better patient outcomes. Key points to note include:

  • Required consent from patients receiving navigation services
  • Ongoing assessment for needs and care coordination planning
  • Additional evaluation may be needed due to abnormal test results
  • Patient navigator or healthcare provider fills out the form
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/5000-5999/form-5202-patient-navigation-consent