General Psychiatric Residential Treatment Facility Attestation Form
With a reasonable investigation having been conducted in the facility, a provider uses the app to attest and comply with all of the requirements governing the use of restraint or seclusion in psychiatric residential treatment facilities providing inpatient psychiatric services to individuals under age 21.
5,000 Companies save time and money with GoCanvas
This attestation in determining whether the facility is entitled to payment for its services. The user also understands that pursuant to Medicaid and State regulations has the right to validate that the Provider is in compliance with the requirements, to investigate complaints lodged against the facility, and to investigate serious occurrences. The General Psychiatric Residential Treatment Facility Attestation Form mobile app allows you to replace your paper attestation form with an Android, iPhone, tablet or Windows desktop computer. The mobile form includes fields to document items such as provider name, provider ID, address, email and captures the signature of facility director. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your human resources records. You can also use the App Builder to personalize and customize this mobile form.
GoCanvas accounts come
with hundreds of form templates
Don't take our word for it...
“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”
