Overview

To document insurance, beneficiary, will, and burial information.

Applicable Staff

Directors/Supervisors, ID Staff, and Nurses can complete the form, all Avatar users may view the form.

Usage

The form is client and episode based and can be accessed through the menu path Avatar CWS/Mercy Modeled Clinical Forms/Mercy ID Forms/Individual Burial Information, from within a client record, or from the Home View.  The Form Completion Date is required and defaults to the current date.  Please be sure to change the date if you wish to enter information for a different date.

Insurance information, burial information, and information regarding a will can be entered if known.

Click the blue Submit button to enter the form into the record. 

Tips & FAQ

 Any useful tips, and questions provided by users after roll out.

Technical Information

Menu Location (Avatar CWS/Mercy Modeled Clinical Forms/Mercy ID Forms/Individual Burial Information)

SQL Table(s) - MERCY.midsburial

RAD Envelope (if applicable) - cws_c_midsburial

Related Forms and Reports (data from one form feeds another report/form)