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| Perinatal Assessment Forms |
| Health Partners has worked with the other HealthChoices managed care organizations in the Southeast region to develop a standard perinatal assessment form that will be accepted by each of the plans.
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 Obstetrical Needs Assessment Form |
To participate in our OB Provider P4P incentive program, Health Partners requires that you use this form to document appropriate obstetric care (prenatal, antenatal and postpartum). Please sign, date and fax it to us at 215-967-4492 upon initial prenatal visit and upon completion of the postpartum visit.
If you prefer, Health Partners will also accept submission of the ACOG assessment form. When using the ACOG, please note screening for Environmental Tobacco Exposure in the form’s Tobacco Screening section. |
| Provider Services Helpline: 215-991-4350 • 1-888-991-9023 |
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