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  • Nhif Long Stay Notification

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    This document is a form from the National Hospital Insurance Fund (NHIF) in Kenya. The form is for notifying NHIF of a patient's long stay at the hospital. It requests information such as the patient and hospital details, admission date, reason for long stay, and signature of the attending clinician. The form must be faxed, emailed, or delivered to the NHIF area office by the sixth day of the patient's hospitalization.

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    Long Stay Form Medical

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    This document is a form from the National Hospital Insurance Fund (NHIF) in Kenya. The form is for notifying NHIF of a patient's long stay at the hospital. It requests information such as the patient and hospital details, admission date, reason for long stay, and signature of the attending clinician. The form must be faxed, emailed, or delivered to the NHIF area office by the sixth day of the patient's hospitalization.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    32 views1 page

    Nhif Long Stay Notification

    Uploaded by

    maoaweys hospital
    This document is a form from the National Hospital Insurance Fund (NHIF) in Kenya. The form is for notifying NHIF of a patient's long stay at the hospital. It requests information such as the patient and hospital details, admission date, reason for long stay, and signature of the attending clinician. The form must be faxed, emailed, or delivered to the NHIF area office by the sixth day of the patient's hospitalization.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    NHIF 37 (Revised 2005)

    NATIONAL HOSPITAL INSURANCE FUND


    P.O. Box 30443, NAIROBI
    Website: www.nhif.or.ke Email: info@nhif.or.ke

    LONG STAY NOTIFICATION FORM

    Hospital’s Name................................................................. NHIF Hospital Code ......................................

    Name of the Patient ........................................................... Age ........................... IP/No ..........................

    Date of Admission.............................................................. Ward No ................... Bed/cot No .................

    NHIF Membership No ..................................................................................................................................

    Reason for long stay ....................................................................................................................................

    .....................................................................................................................................................................

    .....................................................................................................................................................................

    .....................................................................................................................................................................

    Attending Clinician’s (Nurse/Doctor/Clinical Officer)

    Name ..........................................................................................................................................................

    Signature ______________________________________ on this date ..................................................

    NB: This form should be faxed/e-mailed/or delivered by any other means to the respective NHIF area
    office on the sixth day of patient’s hospitalization without fail.

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