Individual Data Forms

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Individual Data Forms 2017-05-21T10:04:27+00:00

Therap individual data form with different fields

  • Identification Data, Insurance, Contacts & Program Enrollment Information
  • Medical Profiles including Diagnoses, Allergies & Medications
  • Guidelines, Information & Contacts for emergencies involving an individual
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The Individual Data (ID) form is designed to help users maintain essential information such as Race, Religion, SSN, Medicare, Medicaid numbers, admission date, program enrollment date, for individuals along with their basic identification details- Names, DOB, Physical Features, etc. Users are able to attach to this module two photographs and/or scanned documents and store them in a HIPAA compliant form.

When entering medical information in the IDF, users can easily refer to a list of ICD10 codes and select the medical diagnoses that apply to an individual. Users can also look-up from the medical contact list the individual’s physician, dentist, hospital and pharmacy. Users also have the option to Resolve a Diagnosis and document the date it was resolved and by whom.

Information on the IDF can be updated by users who have been assigned appropriate privileges. For an approved IDF, a copy of the information previously entered appears below each of the fields. Thus, when the IDF is being updated users can see what information is being updated.

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Individual Data Forms Training Academy Course

Individual Data Form

This course will give you an overview of Therap’s Individual Data Form (IDF) and Emergency Data Form (EDF) sections.
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Individual Data Forms User Guides

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Demographic Report

Each agency can generate a demographic report, which is based on the information entered in the ID forms. The report displays all the relevant demographic statistics by language, gender, mobility, communication modality, country of origin, top 10 diagnoses and others. The report also shows counts of individuals enrolled in different programs and supervision schemes.