PMP Manual HCAI | Page 21

Patient Management Program - HCAI Part 10 Other Health Providers Part 10 will populate from information input into a previous OCF form or choose practitioners from the PMP list below Doctor. If the provider is not included on the drop down list under Doctor type the practitioner details into all remaining fields, leaving the first field blank. Additional Comments The Additional Comments tab is for attachment information if applicable or any other information to support the treatment plan. Up to 20,000 characters can be used in this field. Additional Buttons The bottom portion of the form contains the following buttons:  Test Form when pressed will marks a red ‘X’ on the tabs signifying incomplete parts of the form and highlight specific required fields in yellow Test for HCAI or Print will modify the test based upon your selection  Cancel closes the form without saving and brings the user back to the Auto screen  - 21 -