virginia patient care report hort form

by Maeve Treutel 4 min read

Patient Forms & Registration | Virginia Heart

28 hours ago New Patient Forms. Please complete the Patient Health History and Patient Registration forms below at least 48 hours or 2 business days before your appointment in order to streamline your first office visit if you are: A patient who has not been seen by one of our providers in the past two years. NOTE: Please bring the completed forms with you ... >> Go To The Portal


Is a patient care report a medical record?

The patient care report is both a medical record and a legal document. This form becomes the documentation by which the prehospital care provider can substantiate the situation encountered, the care provided for the patient and that they acted within the scope of their certification and training.

What is the pre-hospital patient data report?

The Pre-hospital Patient Data Report (PPDR) is a supplemental sheet to the PPCR form and is one of the available mechanisms for reporting the minimum data set to the Office of EMS. Agencies who develop their own PPCR form may also use the PPDR as a supplemental sheet to submit the minimum data set to Office of EMS.

When should I complete the patient health history and patient registration forms?

New Patient Forms Please complete the Patient Health History and Patient Registration forms below at least 48 hours or 2 business days before your appointment in order to streamline your first office visit if you are: A new patient A patient who has not been seen by one of our providers in the past two years

Who is the vendor for the patient care reporting system?

ImageTrend is the sole source contracted vendor for the Patient Care Reporting System. The initial contract period was for three years and ended on June 30, 2018. The contract included three one-year renewal options and OEMS has renewed the contract again for the third one-year period beginning July 1, 2020.

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Patient Registration Forms & Privacy Notices

If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

Registration Forms

We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Patient Registration Forms & Privacy Notices

If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

Registration Forms

We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Administrative Code

Table of Contents » Title 12. Health » Agency 5. Department Of Health » Chapter 31. Virginia Emergency Medical Services Regulations » Part II. EMS Agency, EMS Vehicle and EMS Personnel Standards » Article 5. EMS Personnel Requirements and Standard of Conduct » 12VAC5-31-1140. Provision of patient care documentation.

12VAC5-31-1140. Provision of patient care documentation

EMS personnel and EMS agencies shall provide the receiving medical facility or transporting EMS agency with a copy of the prehospital patient care report for each patient treated at the time of patient transfer.

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