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Patient Transition Goals

Top 10 Patient Transition Goals

 

  1. Three-sentence summary: Create to describe my medical problems to review with my providers.

  2. Medical history and condition: Be able to describe my medical condition and care I have needed.

  3. Medications: Provide a list to any outside providers, school nurse and college campus health clinic.

  4. Alcohol, drugs and tobacco: Explain how these could affect my medical problem.

  5. Emergency care and asking for help: Knowing when to ask for help when I have medical problems.

  6. Contact information/insurance: Keep insurance card and list of medical providers in phone/wallet.

  7. My Health Passport: Create and keep a copy in my wallet or copy it to my cell phone.

  8. Patient portal: Enroll in and explore.

  9. Guardianship options: Work with agencies and a lawyer to establish limited or full guardianship at age 18.

  10. Adult provider: Work with team to find and contact a new adult provider.

Additional Complex Care Transition Goals

 

  1. School Transition Planning: prepare for life after high school.

  2. Accessible Transition: learn about transportation that may be used by everyone.

  3. Financial Planning: understand the option.

  4. Medicaid Waivers: learn about waivers and how to apply.

  5. SSI: learn about Social Security and how to apply.

  6. Residential Planning: understand the options.