PDF
Word
Hospitalization or Outpatient Surgery Certification Form - Ohio
Hospitalization or Outpatient Surgery Certification Form is a legal document that was released by the Ohio Department of Administrative Services - a government authority operating within Ohio.
FAQ
Q: What is a Hospitalization or Outpatient Surgery Certification Form?
A: It is a form used in Ohio to certify hospitalization or outpatient surgery.
Q: Who needs to fill out this form?
A: The form needs to be filled out by the healthcare provider.
Q: What is the purpose of this form?
A: The form is used to certify the need for hospitalization or outpatient surgery for insurance and coverage purposes.
Q: Are there any specific requirements for filling out this form?
A: The form usually requires detailed information about the patient's medical condition and the need for hospitalization or surgery.
Form Details:
- Released on October 1, 2009;
- The latest edition currently provided by the Ohio Department of Administrative Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Ohio Department of Administrative Services.
