TX HHS Form 5202. Patient Navigation Consent

The TX HHS Form 5202, Patient Navigation Consent, is a crucial document that facilitates ongoing assessment for needs and care coordination planning for patients receiving navigation services. This form helps solve the problem of ensuring patients understand their treatment options and receive necessary support throughout their healthcare journey.

This consent form requires clients to provide essential information, including their name, date of birth, daytime phone number, and alternate contact details. The form also highlights key sections, such as patient navigation services, which may include additional evaluation due to abnormal test results. Common scenarios of use involve patients receiving screening or diagnostic results, requiring education, financial assistance, or referrals for management and treatment.

The TX HHS Form 5202 is an essential tool for healthcare providers and contractors, ensuring that patients receive the necessary support and care coordination planning. The form's importance lies in its requirement for ongoing assessment and consent to navigation services, making it a vital component of patient-centered care.