{"id":2539,"date":"2023-09-07T14:04:06","date_gmt":"2023-09-07T20:04:06","guid":{"rendered":"https:\/\/caringedge.com\/?page_id=2539"},"modified":"2023-09-07T14:30:59","modified_gmt":"2023-09-07T20:30:59","slug":"cheyennehspconsents","status":"publish","type":"page","link":"https:\/\/caringedge.com\/cheyennehspconsents\/","title":{"rendered":"CheyenneHspConsents"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;||0px|||&#8221; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text content_tablet=&#8221;<\/p>\n<h1 style=%22text-align: center;%22><span style=%22font-family: Allerta; font-weight: normal; font-size: xx-large;%22><span style=%22color: #649154;%22>HOME HEALTH<\/span> <span style=%22color: #0f6e4a;%22>ADMIT PACK QUESTIONAIRE 2022<\/span><\/span><\/h1>\n<p>&#8221; content_phone=&#8221;<\/p>\n<h1 style=%22text-align: center;%22><span style=%22font-family: Allerta; font-weight: normal; font-size: xx-large;%22><span style=%22color: #649154;%22>HOME HEALTH<\/span> <span style=%22color: #0f6e4a;%22>ADMIT PACK QUESTIONAIRE 2022<\/span><\/span><\/h1>\n<p>&#8221; content_last_edited=&#8221;off|phone&#8221; admin_label=&#8221;Title&#8221; _builder_version=&#8221;4.20.4&#8243; header_font=&#8221;Poppins||||||||&#8221; header_text_align=&#8221;left&#8221; header_2_font=&#8221;Poppins|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.2em&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;100%&#8221; width_last_edited=&#8221;on|phone&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; animation_style=&#8221;fade&#8221; animation_direction=&#8221;top&#8221; header_font_size_tablet=&#8221;&#8221; header_font_size_phone=&#8221;30px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; inline_fonts=&#8221;Allerta&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\"><span style=\"font-family: Allerta; font-weight: normal; font-size: xx-large;\"><span style=\"color: #649154;\">CHEYENNE HOSPICE<\/span>\u00a0<span style=\"color: #0f6e4a;\">ADMISSION CONSENTS<\/span><\/span><\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h4 style=\"text-align: center;\"><strong>1. Most Fields in this Electronic Questionaire are pre-populated for your convenience.\u00a0 <\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>Please change answers as needed.<\/strong><strong><\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>2. Carefully fill this form out completely.\u00a0 <\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>Most fields are required fields.<\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>3. Please do not hesitate to give us a call if you have any questions when filling out these consent forms. <\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>4.\u00a0 Completing the Electronic Admission Consents will immediately deliver the completed consent forms to our intake staff.\u00a0<\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>4.\u00a0 Reference files are available at bottom of page<\/strong><\/h4>\n<p><strong><\/strong><\/p>\n<h4 style=\"text-align: center;\"><strong>\u00a0 PLEASE COMPLETE ELECTRONIC ADMISSION CONSENTS LOCATED DIRECTLY BELOW.<\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>THIS WILL SAVE YOU FROM HAVING TO PRINT AND FILL OUT THE CONSENT FORMS BY HAND.<\/strong><\/h4>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px|||||&#8221; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; 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_module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;900px&#8221; module_alignment=&#8221;center&#8221; custom_padding=&#8221;|25px||25px|false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h4 style=\"text-align: center;\"><strong>\u00a0<\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong><\/strong><\/h4>\n<h4 style=\"text-align: center;\"><strong>Reference Files:<\/strong><\/h4>\n<p style=\"text-align: center;\"><b><a href=\"https:\/\/caringedge.com\/wp-content\/uploads\/2023\/09\/ce-hsp-cheyenne-admit-pack.pdf\" target=\"_blank\" rel=\"noopener\">Admission Packet<\/a><\/b><\/p>\n<p style=\"text-align: center;\"><strong><a href=\"https:\/\/caringedge.com\/wp-content\/uploads\/2023\/09\/ce-hsp-cheyenne-secondary-payer-wksht.pdf\" target=\"_blank\" rel=\"noopener\">Secondary Payer Worksheet<\/a><\/strong><\/p>\n<p style=\"text-align: center;\"><strong><a href=\"https:\/\/caringedge.com\/wp-content\/uploads\/2023\/09\/ce-cheyenne-hsp-admission-consents.pdf\" target=\"_blank\" rel=\"noopener\">Consent Pages<\/a><\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CHEYENNE HOSPICE\u00a0ADMISSION CONSENTS1. Most Fields in this Electronic Questionaire are pre-populated for your convenience.\u00a0 Please change answers as needed. 2. Carefully fill this form out completely.\u00a0 Most fields are required fields. 3. Please do not hesitate to give us a call if you have any questions when filling out these consent forms. 4.\u00a0 Completing the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"yes","_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/pages\/2539"}],"collection":[{"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/comments?post=2539"}],"version-history":[{"count":5,"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/pages\/2539\/revisions"}],"predecessor-version":[{"id":2568,"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/pages\/2539\/revisions\/2568"}],"wp:attachment":[{"href":"https:\/\/caringedge.com\/wp-json\/wp\/v2\/media?parent=2539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}