Request For Summary/ Report Letter or Form Completion

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      Request for Summary/Report Letter or Form Completion

      Requests for Form Completion or Summary/Progress Letter (Third Party and/or Client) 


      Fees: We recommend you pro-rate your session rate for the duration of time it takes to complete the summary letter or clinical file preparation.


      Process:

      • Upon receiving a request for a a form completion or a letter, upload the request to the client file under chart. Be mindful of the due date for the request.

      • Confirm that you can actually complete the form; in the fine print, it should indicate what types of providers can complete it. I recommend having your client look into this before sending the form your way; many times it will say general practioner only or something similar.

      • If you think beneficial or necessary, Set up a consultation with your client to discuss this request. In the consultation you should review the following:    

        • Risks and benefits associated with the completion/writing

        • What types of information you will include in the letter or form completion.

        • Confirm that the client consents to whatever option they select, and that said consent was fully informed.

        • Inform client of the approximate cost of service (if not predetermined) and ensure they are agree to pay this

        • Be sure to chart ALL of the above.


      • Send Consent to Disclose form directly from Jane. 

        • If it is a couple, we need both of them to sign the form and consent

        • If it is a child, we need both parents’ consent 

      • Complete the summary letter using Rebound Total Health Letterhead  (make a copy of the file, then edit) OR complete the form (depending on request)

      • Inform admin of the total cost for the work completed, so we can add it to Jane as a product

      • Confirm that all consents have been signed.

      • Bill client following guidelines in Billing A Product document.

      • Submit the file or summary letter to the client.

      • Chart that the file or summary letter or form has been sent, attach summary letter or form to file

      • Include this on your monthly invoice, billed at your split.