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Care Plan (Client (Code Status (FULL RESUSCITATION, NO CODE, Living Will,…
Care Plan
Client
Contact Information
Address
Phone
Responsible Party
Address
Phone
Contact Instructions (Text Area)
Client History / Condition
Text Field
Allergies
Text Field
Diagnosis
Get From Service Agreement
Type of Services
Master ( Bathing, Grooming..etc)
Frequency / instructions / Comments
Sun,Mon,Tue,Wed,Thur,Fri,Sat,As Needed
Backup Staffing
Staffer (Employee Lookup)
Phone
Backup Staffing Plan
Text Area
QP Case Manager
Name ( Employee Lookup)
Signature
Client Signature
Frequency of Visits / Shifts
Text Field
Care plan By ( Employee Lookup)
Employee Lookup
Date of Creation
Responsible Party Signature
Edited By And Last Edited - History
Total Hours
Match to Scheduler
Total Hrs assigned in care plan (Auto Calculate)
Code Status
FULL RESUSCITATION
NO CODE
Living Will
DNR DNI
Start Of Care Date And End of Care Date
PCA Signature