This is a legal form that was released by the Maryland Department of Health - a government authority operating within Maryland. Check the official instructions before completing and submitting the form.
Q: What is DHMH-615?
A: DHMH-615 is the Medicare Admission Form used in Maryland.
Q: Who uses the DHMH-615 form?
A: The DHMH-615 form is used by healthcare providers in Maryland for Medicare admissions.
Q: What is the purpose of the DHMH-615 form?
A: The DHMH-615 form is used to document the admission of a patient to a healthcare facility under Medicare.
Q: What information is included in the DHMH-615 form?
A: The DHMH-615 form includes information such as the patient's personal details, Medicare eligibility, and details about the healthcare facility.
Form Details:
Download a fillable version of Form DHMH-615 by clicking the link below or browse more documents and templates provided by the Maryland Department of Health.