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CHIPSA LifeXtra Program Registration
This service will also introduce you to the LifeXtra Questionaire and Information Guide that can explain some of the unique opportunities that exist for you as a visitor of our CHIPSA healthcare environment.
LifeXtra Care and the registration process provide access for you as a future recipient of our CHIPSA healthcare environment.
We encourage you to browse the links in this section to access an effective health information and registration. You will find information about important health matters and engage the resources to learn more about enlisting in LifeXtra Health Care.
You may pay your registration fee by check, money order or debit card.
— Checks must be made to CHIPSA and sent to:
— CHIPSA, PO Box 1850, Chula Vista, CA 91912.
— Money order must be made to CHIPSA and sent to the same address.
4) Patient Summary and Records: When contacted you will be asked to send a copy of your Patient Summary and diagnosis, a most recent laboratory result or imaging study-reports to CHIPSA: Medical Records. We shall eventually require a CBC, a metabolic pannel and a urinalysis, when admitted.
Medical Records: Your doctor may be contacted (on your behalf) to release/send your medical records. You will thereby be required to give your doctor and CHIPSA permission to retrieve such material as result of this request for information. If you did not have any blood work done, let us know and we may fax you a requisition.
The LifeXtra Questionaire: Five Basic Steps
STEP ONE asks you to take a moment to provide us your contact preference (name, email, phone etc.) and help us better understand your condition. (If you've already registered for admission or filled out a CHIPSA on-line inquiry, your identity will be respected with special care. You should complete the LifeXtra Questionnaire steps once you begin, before proceding on to other steps.
STEP TWO & THREE asks you to identify 'health preferences' and treatment as you determine 'how and why' criteria toward medical treatment, facilities, physicians which helps us begin authorized patient summary review of your health history. These two step asks you to identify decision-lifestyle influencers (such as; dental, allergies, diet, herbal supplements, etc.) and points to any additional family information you may have encountered during your search for the best medical care.
STEP FOUR
How Do I Use The LifeXtra Questionaire Information Guide?
We simply ask you to begin organizing your thoughts and experiences concerning your medical condition or the condition of a spouse or family member. We help you by presenting you with a series of questions designed to address some unknown experience, issues, responses or symptoms. There is no right way or wrong way to use the LifeXtra Questionaire / Information Guide, so it's helpful to not judge your answers to questions.
LIFEXTRA APPLICATION & REGISTRATION: To register you must complete the following steps:
1) Complete CHIPSA's LifeXtra Patient Information History Questionnaire. Begin here.
2) Email, mail or fax your LifeXtra Questionnaire answers, and then consider joining CHIPSA LifeXtra by addressing the registration fee accordingly.
3) Payment as your admitted: (when approved) you shall be required to pay for the first full week of therapy within 24 hours (before your arrival) and payment in full will be due within 3 days after arrival at CHIPSA. Patients who terminate their therapy due to a medical emergency will be reimbursed for the remaining unused portion of the program.
It is your opportunity to list your personal medical history, current medications, physician treatment concerns and the protocols upon which you wish to focus your expectations. This is NOT a medical record request.
STEP FIVE asks you to walk through a chronology of your health and your reciprocal medical care as you understand. We request that you provide us with an optional 'chronology essay' in further review of your medical condition, as we decide together to complete health history before you receive care at CHIPSA .Your chronology is important disclosure in providing our physicians understanding of your medical history, but also it provides you a method to gather strength for your healing path.
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