Table of Contents for Policy and Procedure Manual

SECTION ONE:   FORMS

FOR DIRECT PATIENT CARE:
1.  Initial Intake Form – Generic for Adults and Specific to Pediatrics
2.  Generic Evaluation Forms  (Pediatric and Adult Practices)
3.  Generic Progress Re-evaluation Note
4.  Generic Discharge Form
5.  Assignment of Benefits Form/Patient Notification of Billing/Cancellation/Discontinuance of Services Policy/Financial Policy Form
6.  Medicare Beneficiary Form
7.  Authorization for Release of Confidential Information
8.  Notice of Patient Privacy Practice/ Patient Information Consent Form
9.  Patient Satisfaction Survey
10.  Referral Source Satisfaction Survey
11.  Photo/Video Release Form / Waiver Form for Onsite Classes/Permission Slip for Caregivers
SECTION TWO: FORMS/ POLICY STATEMENTS FOR GENERAL OFFICE PROCEDURES
1.  Incident Reporting and Form
2.  Child Abuse
3.  Confidentiality, Release and Handling of Information including HIV Information
4.  Confidentiality for Emails/Faxes
5.  Emergency Preparedness Plan
6.  Health and Safety Issues Including Universal Precautions, Infection Control/   Handwashing Procedures
7.  HIPAA Policy and Procedures –newly updated in 2015
8.  Rehabilitation Update/Documentation for Medicare Patients
9.  Clinical Chart Review Form

SECTION THREE: FORMS FOR HIRING THERAPISTS/NON CLINICAL STAFF
1.  Application Form, Orientation and Minimum Requirements of Therapists
2.  Reference Forms
3.  Clinical Competency Review Form
4.  Employee Health Assessment
5.  Hepatitis B Consent/Decline Form
6.  Freedom from Impairment Form
7.  On Site Clinical Competency Form
8.  Sample Employee Handbook
9.   Code of Ethics  – OT, PT ST
1o. Job Descriptions – clinical and non clinical – new for 2015

SECTION FOUR:  BOILER PLATE GENERIC CONTRACTS
1. Sample Temporary Personnel Services Agreement
2. Sample Home Care Personnel Services Agreement
3.  Sample Contract for School District Service Provision
4.  Sample Independent Contractor Agreement
5.  Sample Employee Contract
Purchase now:  $160 for downloadable, editable word document you can edit and customize with your practice name etc.
 
 

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