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Form N-648: How to Certify Disability Exceptions

Form N-648: Certification for Disability Exceptions

At last the tax period, the most challenging time of the year for most Americans, is over. Despite all the blood, sweat and tears of the US citizens who completed their numerous tax forms and declarations, a lot of immigrants want to have the same exciting experience and proudly call themselves Americans. This blog post will be useful for those who want to start the naturalization process.

An individual has to meet certain requirements to apply for US citizenship. The information about general requirements for naturalization can be found on the U.S. Citizenship and Immigration Services (USCIS) site. Among all the common requirements, the applicants must speak and write basic English and know the most important milestones in the history of the country: these requirements are known as English and civics requirements. There is an exception to every rule though. If the applicant doesn’t meet English and/or civics requirements due to a health disability, they can use Form N-648, Certification for Disability Exceptions.

Who needs Form N-648?

The certification is for individuals who want to apply for US naturalization but don’t meet certain requirements connected with the ability to speak and write English and demonstrate knowledge of the history of the country due to a health problem, either mental or physical. The health condition should be certified by a doctor licensed in the US.

What is the purpose of Form N-648?

The main purpose of Form N-648 is to certify the disability condition of the individual who is applying for US citizenship. The certificate contains detailed information about the applicant, the physician who certifies the disability, a detailed description of the health condition, etc. The certification is an essential part of the Application for Naturalization and is used to make a decision on the immigrant’s case.

When is Form N-648 due?

The Medical Certification is completed and filed together with Form N-400. The estimated time for filling out and certifying the form is one hour.

What information should be provided in Form N-648?

The form has three parts for completion:

  • The first part contains information about the applicant including name, address, gender, and date of birth.
  • The second part contains information about the medical professional who certified the disability including name, address, license number, licensing state, email, and type of medical practice.
  • The third part is aimed at providing a detailed description of the applicant’s disability. Here the physician has to write down the clinical diagnosis, basic information about the disability and reasons of this condition, and information about the examination. The doctor also has to certify that the applicant’s disability lasts for twelve months or more (that is one of the main conditions for the exception) and affects their ability to demonstrate knowledge of United States history and the English language.

The form must be certified by the medical professional and the interpreter.

The applicant authorizes the licensed medical doctor to release the information provided in the form to USCIS by adding their signature.

Where do I send Form N-648 after its completion?

The certified Form N-648 is filed with the U.S. Citizenship and Immigration Services together with the Application for Naturalization.

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Medical Administration Record: Be Aware of the Medicine You Take

Medical Administration Record (MAR)

Contemporary medicine is developing quickly. More and more medical procedures are being created and tested. That is why people are often afraid to take unknown pharmaceuticals as they are unsure of the possible side effects.

The medical administration record is one of the most important documents in a medical chart and contains the treatment plan with all prescribed medications. It is designed for attending physicians, hospital nurses and other participants in the diagnostic and treatment process. Physicians usually deal with prescribing drugs. Nurses receive this information and perform the recommended medical procedures. This document is a go-between for the patient and medical staff.

Who Needs the Medical Administration Record?

This computer-generated schedule is important for both the doctor and the patient. It is a legal report of the drugs prescribed for the patient. The electronic version is much more convenient and user-friendly. More and more hospitals have started using our special software for keeping medical charts. With the software’s help, the record and the treatment plan are more organized and comprehensive. It reduces the chance of making a mistake. Consequently, patients rest easier without having to worry about whether a handwriting mistake could lead to getting the wrong drug.

What is the Medical Administration Record for?

The medical administration record includes test results, procedures, consultations, medications and all other points connected to the patient’s treatment. The key purpose is to keep it all in a strict order. Any treatment or examination cannot be held without a daily note in the record. Seeing the signature of the nurse, the doctor knows that the instructions were fulfilled.

When is the Medical Administration Record Due?

The due date of the Medical Administration Record depends on the patient’s condition. It remains valid during the time the patient stays under a doctor’s supervision. All documents regarding treatment are preserved in the hospital archive, including the medical chart and this record.

Is the Medical Administration Record Accompanied by Other Documents?

This sheet is part of the medical chart of a patient. It cannot be completed separately. These two documents are interconnected.

What Information is Included in the Medical Administration Record?

The heading of the record contains the name of the patient and the date (month and year). You will see a big chart that has columns for medication, dosage, delivery method and days. It is usually divided into 31 days. At the bottom of the record, it is required to indicate the name of the person who administers the medication. The signature of this person is also required. There is one more important field in the form devoted to allergies and adverse reactions.

The next chart is more detailed. It is called the PRN and Refuses Medication Notes. It includes the date, hour, initials, medication and reason. During treatment, it is necessary to keep records of the weight, blood pressure and heart rate of the patient. All these points must be indicated in the medical administration sheet.

Where do I Send the Medical Administration Record?

This sheet must be preserved in the hospital or clinic where the patient was treated.

appeal request

Stand Upon Your Right with a Marketplace Appeal Request Form

Marketplace Appeal Request Form

It is not a dead end when you see that you are not satisfied with the decision of the marketplace. There is a range of decisions which imply the possibility to appeal. If you are eligible to purchase a marketplace plan and enroll in it on the regular basis, prepare to file an appeal. If the marketplace makes a temporary determination about the eligibility after the application has been made, you have the right to give notice of appeal as well.

Remember, that you have the chance to ask someone else to file or take part in the appeal. It can be your relative, lawyer, friend, or any other individual. However, it is not necessary. Thus, your attention must be paid to Marketplace Appeal Request Form which is the subject matter of our today’s blog post.

What is Marketplace Appeal Request Form?

Marketplace Appeal Request Form is a specially designed application filed by everyone who wants to lodge an appeal. Keep in mind that you can complete this request only in definite states. They are Indiana, Alaska, Illinois, Arizona, Georgia, Florida, Delaware, Nebraska, Iowa, Missouri, Kansas, Mississippi, Nevada, Maine, New Hampshire, Michigan, New Mexico, Pennsylvania, North Carolina, Oklahoma, Ohio, South Carolina, Wisconsin, South Dakota, Virginia, Texas, and Utah.

What is the purpose of Marketplace Appeal Request Form?

When you face an immediate necessity to receive some health services and there is a delay that can greatly jeopardize your physical condition, you have the right to ask for the review of the expedited appeal. Moreover, you may appeal SHOP eligibility (Small Business Health Options Program).

When is Marketplace Appeal Request Form due?

After applying in one of the above-mentioned states, your task is to submit the appeal during the period of 90 days of the date on the eligibility determination notice of the marketplace that you are appealing.

Is Marketplace Appeal Request Form accompanied by some other forms?

No. Marketplace Appeal Request Form is completed separately. However, the filers may need to attach also the copies of the testimonials.

How do I complete Marketplace Appeal Request Form?

The form consists of four sections. According to the form, a person who requests the appeal is called the appellant. So, the first section is devoted to the information about the appellant: name, date of birth, street address, city, state, available phone number, and the same information about all other people who appeal with you.

In the second section of the form you must mention the reason of your appeal. Generally, there is the enumeration of possible reasons. You choose the one which is the most suitable for your situation.

The third section is the continuation of the second one and requests more details about the reasons to appeal. In the last section an appellant must sign. There is also the possibility to ask for a faster appeal if such necessity occurs.

Where do I send Marketplace Appeal Request Form?

Send your appeal to the Health Insurance Marketplace in the Department of Health and Human Services.

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Medicaid Transportation Justification Request: Things to Know

Medicaid Transportation Justification Request

Every state must provide necessary transportation to and from the place of medical service to all beneficiaries. This benefit is regulated by state law. Generally, this transportation is the beneficiary’s usual vehicle. However, sometimes the condition of the beneficiary means that a special ambulette is required. In any case, the transportation must be medically appropriate and cost-effective.

The Medicaid Transportation Justification Request plays a very important role in this case as without this form a beneficiary will not have the chance to be provided with necessary transport.

What is the Medicaid Transportation Justification Request?

The Medicaid Transportation Justification Request is a form that filed when one wants to request transportation for a beneficiary. It is an official document that confirms the eligibility of the applicant to obtain a certain type of transportation.

There are two types: emergency and non-emergency. The first type refers to various injuries including burns and extreme trauma. Emergency transportation is dispatched after a 911 call. A non-emergency request is aimed at simply getting a beneficiary to a medical care institution.

When is the Medicaid Transportation Justification Request Due?

When filling out this form, an applicant must indicate if the requested transport is a long-term need of the beneficiary or a temporary one. The due date will be designated according to your choice.

Is the Medicaid Transportation Justification Request Accompanied by other Forms?

No, the Medicaid Transportation Justification Request may be submitted independently. However, sometimes you must provide more documents about the state of health of the beneficiary to confirm the necessity of getting an appropriate vehicle.

How do I fill in the Medicaid Transportation Justification Request?

First of all, the Medicaid Transportation Justification Request must include the name, date of birth, medical number, address, and telephone number of the patient. After that, you choose the mode of transportation needed: livery, ambulette ambulatory, ambulette wheelchair, stretcher van, BLS ambulance, or ALS ambulance.

The most important thing is to indicate the diagnosis of the patient which prompted the transportation justification request. Certification statement is also included so that the applicant can confirm that they understand and agree on possible results after the form is filed. The last part of the document consists of the following information: physician’s name, National Provider Identifier, date, telephone, hospital or clinic name, its address, the name of the person who completed the document, and a signature. The request can be rejected if it isn’t entirely complete.

Where do I send the Medicaid Transportation Justification Request?

The request must be signed by a medical doctor, nurse practitioner or physician’s assistant. The absence of a signature will mean the transportation request is rejected. After being signed, it must be sent to the New York Department of Health (Office of Health Insurance Programs) for consideration.

Form 2870

How to Protect your Medical Information with DD Form 2870

DD Form 2870: Authorization for Disclosure of Medical or Dental Information

Today we’ll discuss a very specific form used by the Department of Defense. It’s a well-known fact that the active duty service members and their dependants are eligible for the TRICARE health care program. According to HIPAA Privacy Regulations, a health care provider or contractor may not release a patient’s medical data to a third party. Even spouses and relatives won’t have access to an individual’s medical records until that individual signs a written agreement. Department of Defense Form 2870 is an authorization agreement which must be signed so that the interested party can access protected medical records.

Who Needs DD Form 2870?

DD 2870 form is typically submitted by a TRICARE beneficiary (a military employee, a military retiree or their dependants) on the request of their provider or contractor. Filling out this form is not mandatory and can be denied.

What is the DD Form 2870 Form?

A filled out Form 2870 (Authorization for Disclosure of Medical or Dental Information) grants permission to share an individual’s protected health information to a third party or individual upon authorization of the disclosure for several purposes:

  • personal use
  • insurance
  • continued medical care
  • school
  • legal
  • retirement/separation, etc.

Is Form 2870 Form Accompanied by Other Forms?

There is no need to submit any other forms along with Form 2870.

When is Form 2870 Due?

The submission of the form is not regulated by any specific deadlines. However, the applicant must indicate the “Authorization Start Date” and “Authorization Expiration Date”, otherwise the request will not be processed.

How do I Fill out Form 2870 Form?

To be legal, the form must be completed in a comprehensive way and include the following information:

  • patient data (name, date of birth, SSN, period and type of treatment)
  • disclosure containing name of the facility or TRICARE health plan and necessary information about the party who asks for authorization
  • reasons for the request or use of medical information
  • information that is to be released
  • authorization start and expiration dates
  • signature and date

Where do I Send DD Form 2870?

The completed form should be sent to one of the TRICARE offices, depending on the beneficiary’s location. Here is the full list of addresses.